Active NPI
Carlye Elizabeth Kennedy, OD
- Optometrist
- Atoka, OK
National Provider Identifier
1831010107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3348
- Practice address
- 1722 W Liberty Rd
Atoka, OK 74525-1705 - Phone
- (580) 292-0144
- Fax
- (580) 292-0142
- NPI assigned
- Jul 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3348 | OK | Primary |
Addresses
Primary practice location
1722 W Liberty Rd
Atoka, OK 74525-1705
Mailing address
1400 E Wade Watts Ave
McAlester, OK 74501-5652
Phone (918) 429-1400
Other practice location 1
1400 E Wade Watts Ave
McAlester, OK 74501-5652
Phone (918) 429-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Eyecare LLC | Optometrist | Past | Accepting new patients |
| Kennedy Eyecare LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Atoka, OK
- NPI 1770282444
-
- Optometrist
- McAlester, OK
- NPI 1821343617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1831010107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E WADE WATTS AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745015652",
"telephone_number": "918-429-1400",
"fax_number": "918-429-1403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 W LIBERTY RD",
"city": "ATOKA",
"state": "OK",
"postal_code": "745251705",
"telephone_number": "580-292-0144",
"fax_number": "580-292-0142"
}
],
"practiceLocations": [
{
"address_1": "1400 E Wade Watts Ave",
"address_purpose": "LOCATION",
"city": "McAlester",
"state": "OK",
"postal_code": "745015652",
"country_code": "US",
"telephone_number": "918-429-1400",
"fax_number": "918-429-1403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "CARLYE",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-23",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "3348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.