Rebecca Dawn Kennedy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12401 Issued in CA

Practice address

7900 Zenith Dr
Citrus Heights, CA 95621-1075

Phone

(916) 725-2020

Fax

(916) 725-1750

NPI assigned

Jul 5, 2006

Last updated

Nov 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

New England College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visionary Optometric IncGroup PAC ID 5799158564, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rkennedy@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Visionary Optometric Inc

  dba Visionary Optometric

  • Optometrist
  • Citrus Heights, CA
  • NPI 1942919154
  Medicare reassignment Care Compare group NPD Authorized official
• Matin Khoshnevis MD Inc

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1134173099

  Optometrist

  Medicare reassignment NPD
• Lewis Sacker Bliss, M.D.

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1417908062
  Medicare reassignment
• Lewis S Bliss MD

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1003084393
  NPD (past)
• Michael B. Hatashita O.D., an Optometric Corporation

  • Optometrist
  • Citrus Heights, CA
  • NPI 1093860439
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1831120153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5773 GREENBACK LANE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95841",
            "telephone_number": "916-863-3143",
            "fax_number": "916-863-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 ZENITH DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956211075",
            "telephone_number": "916-725-2020",
            "fax_number": "916-725-1750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5773 Greenback Lane",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95841",
            "country_code": "US",
            "telephone_number": "916-863-3143",
            "fax_number": "916-863-3143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "REBECCA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkennedy@directaddress.net",
            "affiliation": "N",
            "address_1": "5773 Greenback Lane",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arashdeep Kaur
• Elizabeth Keller
• Kimberly Marie Kelly-Strong, FNP
• Heather Ann Robrecht Kelly, ARNP
• Starley D Kendra, R.N.
• Erin Michelle Kent, RBT
• Rachel M Kent
• Beth Marie Ann Kepley
• Kevin R Tanner, DDS a Dental Corporation (Almond Orchard Dental Care)
• Amita Khare, MS

• Optometrist in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.