Monica S Kennedy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5869 Issued in FL

Practice address

313 S Lakewood Dr
Brandon, FL 33511-2815

Phone

(813) 653-6100

NPI assigned

May 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, NJ, TX, GA, FL5 enrollments

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 5

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suncoast Community Health Centers IncGroup PAC ID 3870402548, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (12 of 13)

Locations

Networks

• Freedom Health HMO Network

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.

• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Ruskin, FL
  • NPI 1285644799
  Medicare reassignment Care Compare group NPD
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  Medicare reassignment NPD
• Choctaw Nation of Oklahoma

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  TX

  Medicare reassignment NPD
• Rose Eye Care LLC

  • Eyewear Supplier
  • Thomasville, GA
  • NPI 1306029251

  Optometrist

  Medicare reassignment NPD
• University of Alabama at Birmingham

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1184738478
  Medicare reassignment NPD
• Suncoast Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Wimauma, FL
  • NPI 1518388354
  NPD
• Choctaw Nation of Oklahoma

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Broken Bow, OK
  • NPI 1447143532
  NPD
• The University of Alabama at Birmingham

  • Optometrist
  • Birmingham, AL
  • NPI 1487677811
  NPD
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  NPD
• National Vision, Inc.

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)
• Oneopto Ga 1 PLLC

  • Optometrist
  • Thomasville, GA
  • NPI 1770432189
  NPD (past)

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1275911950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 TYLERWOOD CT",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325703294",
            "telephone_number": "813-653-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S LAKEWOOD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112815",
            "telephone_number": "813-653-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MONICA",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2023-07-31",
        "certification_date": "2020-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0133907",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00153300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Kennedy, MD
• Cynthia Kennedy
• Daniel Kennedy, RBT
• Jonaye Kennedy
• Lorraine Hoyos Kennedy, MD
• Kenneth W Trussell DC PA
• Kaitlyn Kenny
• Kent M. Sieboldt, OD, PA
• Jennifer Hummer Keovongsa, L.M.H.C.
• Dale L Keppley

• Optometrist in Brandon, FL
• Providers in Brandon, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.