Kennedy & Perkins. Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

001495 Issued in CT

Legal business name

KENNEDY & PERKINS. INC.

Practice address

105 Elm St
Unit 15
Old Saybrook, CT 06475-4132

Phone

(860) 388-4394

Fax

(860) 395-0200

NPI assigned

Mar 14, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Richard L Kennedy Jr., LDO

Title

Vice President

Phone

(203) 624-3145

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Katrina Hrubiec, OD

  • Optometrist
  • Guilford, CT
  • NPI 1215450317
  NPD
• Diana Sophia Nychka, O.D.

  • Optometrist
  • Orange, CT
  • NPI 1972728525
  NPD (past)

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1578861647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101217",
            "telephone_number": "203-624-3145",
            "fax_number": "203-867-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ELM ST",
            "address_2": "UNIT 15",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754132",
            "telephone_number": "860-388-4394",
            "fax_number": "860-395-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY & PERKINS. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-624-3145",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "001495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004036372",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICIAN",
            "identifier": "000637",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Kabza, FNP-C
• Maureen E Kapij, LCSW, LMSW, MSW
• Karl E Scheibe
• Kathleen C. Laundy Associates, LLC
• Ethan A. Kelly, MSW
• Sean Mitchell Kennedy, ATC
• Armen G Ketchedjian, MD
• David Fisher Kimble, RN CNS
• King Family Eye Care, LLC
• Matthew Stephen King, O.D.

• Eyewear Supplier in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Eyewear Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.