Individual provider Active NPI

Kennedy White, OD

  • Optometrist
  • Mason, OH
National Provider Identifier
1649108978
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007464 Issued in OH
Practice address
218 Reading Rd
Mason, OH 45040-1665
Phone
(513) 398-3886
NPI assigned
May 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007464 OH Primary

Addresses

Primary practice location

218 Reading Rd
Mason, OH 45040-1665

Mailing address

7665 Wendel Dr
West Chester, OH 45241-1148
Phone (248) 495-6989

Other practice location 1

245 N Main St Ste 300
Springboro, OH 45066-9171
Phone (937) 748-2955

Other practice location 2

777 Columbus Ave
Lebanon, OH 45036-1684
Phone (513) 932-3343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260529003353 OH Practitioner - Optometry 4587134697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mason Vision Center LLCGroup PAC ID 8729367404, 6 clinicians

Practice addresses (Care Compare)

218 Reading Rd
Mason, OH 45040-1665
Phone (513) 398-3886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007464OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ash Vision Center, LLC Optometrist CurrentSince Jun 29, 2026 Accepting new patients
Springboro Vision, LLC Optometrist CurrentSince Jun 29, 2026 Accepting new patients
Kara S Hampton Optometrist PastSince Jun 29, 2026 Accepting new patients

Locations

4854 Hunt Rd
Blue Ash, OH 45242
Phone (513) 891-6800

218 Reading Rd
Mason, OH 45040
Phone (513) 398-3886

245 N Main St
Ste 300
Springboro, OH 45066
Phone (937) 748-2955

Organizations & group practices 4

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": "1778198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1649108978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 WENDEL DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "452411148",
            "telephone_number": "248-495-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401665",
            "telephone_number": "513-398-3886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 N Main St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450669171",
            "country_code": "US",
            "telephone_number": "937-748-2955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450361684",
            "country_code": "US",
            "telephone_number": "513-932-3343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KENNEDY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.