Roger M Kennedy Optician

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ROGER M KENNEDY OPTICIAN

Practice address

1829 Cottman Ave
Philadelphia, PA 19111-3846

Phone

(215) 742-3597

Fax

(267) 345-0036

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Paul M Kennedy

Title

Son of Roger

Phone

(215) 742-3597

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1851579403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113846",
            "telephone_number": "215-742-3597",
            "fax_number": "267-345-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113846",
            "telephone_number": "215-742-3597",
            "fax_number": "267-345-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER M KENNEDY OPTICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SON OF ROGER",
        "authorized_official_telephone_number": "215-742-3597"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Rofail, MD
• Whitney Rog, PSY.D.
• Owen Jan Rogal, DDS
• Britny Rogala, PHARMD
• Julie Rogan, DNP, CNS, ACCNS-AG
• Rogers Behavioral Health - Pennsylvania Inc. (Rogers Behavioral Health)
• Rogers Behavioral Health Practice - Pennsylvania, P.C. (Rogers Behavioral Health)
• Rogers Memorial Hospital, Inc. (Rogers Behavioral Health)
• Hannah Rogers-McQuade, M.D.
• Carla Rogers-Stokes, CPD, CD

• Durable Medical Equipment & Medical Supplies in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.