Sarah a Kennedy OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4288 Issued in FL

Legal business name

SARAH A KENNEDY OD PA

Practice address

8075 SW Highway 200
Suite 107
Ocala, FL 34481-7823

Phone

(352) 369-3937

NPI assigned

Sep 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sarah A Kennedy, ODNPI 1902071970

Title

President

Phone

(407) 373-9599

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah A Kennedy, O.D

  • Optometrist
  • Ocala, FL
  • NPI 1902071970
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315008000000",
    "number": "1316228331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 SW 62ND ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744782",
            "telephone_number": "407-373-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 SW HIGHWAY 200",
            "address_2": "SUITE 107",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817823",
            "telephone_number": "352-369-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH A KENNEDY OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-03",
        "last_updated": "2011-09-03",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-373-9599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.