Scott a Kennedy OD PC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OEG000659 Issued in PA

Legal business name

SCOTT A KENNEDY OD PC

Practice address

122 N Franklin St
Titusville, PA 16354-1761

Phone

(814) 827-7931

NPI assigned

May 21, 2007

Last updated

Feb 5, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott A Kennedy, OD PCNPI 1922060599

Title

Sole Business Owner

Phone

(814) 827-7931

Specialties & licenses 1

Addresses

Other names 1

• Scott A Kennedy OD PC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott A Kennedy, OD

  • Corneal and Contact Management Optometrist
  • Titusville, PA
  • NPI 1922060599
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1053529008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 285",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163540285",
            "telephone_number": "814-827-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N FRANKLIN ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541761",
            "telephone_number": "814-827-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A KENNEDY OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE BUSINESS OWNER",
        "authorized_official_telephone_number": "814-827-7931",
        "authorized_official_credential": "OD PC"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG000659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott A Kennedy OD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Corneal and Contact Management Optometrist in Titusville, PA
• Providers in Titusville, PA by specialty
• Corneal and Contact Management Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.