Rebecca Lynn Kennedy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4249 Issued in FL

Practice address

357 Bunkers Cove Rd
Panama City, FL 32401-3911

Phone

(850) 215-7255

NPI assigned

Mar 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Southern College of Optometry, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Family First Vision Care PLLCGroup PAC ID 9638425960, 11 clinicians

Stephanie Quesada Moore OD PAGroup PAC ID 6709114432, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family First Vision Care, PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1104341882
  Medicare reassignment Care Compare group NPD
• Stephanie Quesada Moore OD PA

  • Optometrist
  • Panama City, FL
  • NPI 1083277347
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1851369367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 BUNKERS COVE RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013911",
            "telephone_number": "850-215-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 BUNKERS COVE RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013911",
            "telephone_number": "850-215-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06730T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1421",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Leigh Kemp, MS
• Ken Morris Ms PA
• Eehab A Kenawy, M.D.
• James Maurice Kendrick III
• Nicole Marie Kennedy
• Rhiannon Melissa Kennedy, ARNP
• Samantha Nicole Kenney, MSW
• Kennon Dental Associates PA
• Jason Branch Kennon, DMD
• Heather Henderson Kent, M.S CCC-SLP

• Optometrist in Panama City, FL
• Providers in Panama City, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.