Kennedy Eyecare LLC
NPI 1033822135ActiveOrganization· Optometrist· Checotah, OK
Optometrist in Checotah, Oklahoma, registered in NPPES in January 2023, part of Kennedy Eyecare LLC. The authorized official on file is Craig Kennedy, O.D.
Overview
| NPI | 1033822135 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kennedy Eyecare LLC |
| NPI issued | Jan 4, 2023 |
| Last updated in NPPES | Jan 4, 2023 |
| Certified by provider | Jan 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Optometrist providers in Checotah
- 1427229699
- 1669454856