Kennedy & Young Optometry
NPI 1912119942ActiveOrganization· Optometrist· Modesto, CA
Optometrist in Modesto, California, registered in NPPES in May 2007. The authorized official on file is Trisha Frick, Billing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912119942 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2007 |
| Last updated in NPPES | Oct 5, 2022 |
| Certified by provider | Sep 28, 2022 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Optometrist providers in Modesto
- 1104395722
- 1225508443
- 1811599046
- 1740495225
- 1174651483
- 1548018633
- 1164017646
- 1902935893
- 1407975139
- 1982211793
- 1639744238
- 1760558498