Richard S. Kenny, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1492 TX Issued in WA

Practice address

225 106TH Ave NE
Bellevue, WA 98004-5713

Phone

(425) 454-2028

Fax

(425) 451-1497

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Specialty Eyecare Group Inc

  dba Totem Lake Vision Center

  • Optometrist
  • Kirkland, WA
  • NPI 1235317637
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1801986575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 106TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045713",
            "telephone_number": "425-454-2028",
            "fax_number": "425-451-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 106TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045713",
            "telephone_number": "425-454-2028",
            "fax_number": "425-451-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "RICHARD",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1492 TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008696",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Kennedy
• James Kennedy
• Kate Ellen Kennedy
• Kenneth L P Morton MD PC
• Kenneth R King MD PS
• Kent G Leavitt MD PLLC
• Gerald G. Kent, M.D.
• Sadie Kent
• Stephanie Kent, L.M.P.
• Monique Serina Keo

• Optometrist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.