Individual provider Active NPI

Kimberly Kennedy, OD

  • Optometrist
  • Spring, TX
National Provider Identifier
1194612440
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11483 Issued in TX
Practice address
1201 Lake Woodlands Dr Ste 1000
Spring, TX 77380-5006
Phone
(281) 298-5905
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11483 TX Primary

Addresses

Primary practice location

1201 Lake Woodlands Dr Ste 1000
Spring, TX 77380-5006

Mailing address

1201 Lake Woodlands Dr Ste 1000
Spring, TX 77380-5006
Phone (281) 298-5905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013000036 TX Practitioner - Optometry 1254828569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Quality Eye Care PLLCGroup PAC ID 5193981942, 3 clinicians

Practice addresses (Care Compare)

7540 Cypress Creek Pkwy
Houston, TX 77070-5806
Phone (832) 554-6771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11483TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Eye Care PLLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients

Locations

7540 FM 1960 Rd W
Houston, TX 77070
Phone (281) 894-4300

1201 Lake Woodlands Dr
Ste 1000
The Woodlands, TX 77380
Phone (281) 362-9999

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1194612440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 LAKE WOODLANDS DR STE 1000",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773805006",
            "telephone_number": "281-298-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LAKE WOODLANDS DR STE 1000",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773805006",
            "telephone_number": "281-298-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KIMBERLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.