Katherine Greer Kennedy, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-D81-TA-A86 Issued in AL

Practice address

390 Gunter Ave
Guntersville, AL 35976

Phone

(256) 878-3024

NPI assigned

Jun 29, 2017

Last updated

Oct 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in AL

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

University Alabama Birmingham - School of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyes on Albertville, LLCGroup PAC ID 0941545164, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyes on Albertville, LLC

  • Optometrist
  • Albertville, AL
  • NPI 1235664285
  Medicare reassignment Care Compare group NPD
• Eyes on Albertville, LLC

  dba Eyes on Guntersville

  • Optometrist
  • Guntersville, AL
  • NPI 1598323438
  NPD
• Randall W Hoerth OD PC

  • Optometrist
  • Albertville, AL
  • NPI 1083899405
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1871014969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359760012",
            "telephone_number": "256-878-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 GUNTER AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-878-3024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Hambrick St",
            "address_purpose": "LOCATION",
            "city": "Albertville",
            "state": "AL",
            "postal_code": "359501624",
            "country_code": "US",
            "telephone_number": "256-878-3024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KATHERINE",
        "middle_name": "GREER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D81-TA-A86",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191288",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tivoli Reneka Justice
• Christy Lee Keeper
• Monica McGee Keller, B.S.
• Rhoda B. Kellum, MS
• Rebecca Lee Kelly, RN
• Salena Jane Kennedy
• Elizabeth Michelle Kidd, CPSS
• Zachary Kilian, BACHELORS IN PSYCHOL
• Jennifer Brooke Kilpatrick, M.S.
• Donna K King, MS

• Optometrist in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.