Individual provider Active NPI

Sarah A Kennedy, O.D

  • Optometrist
  • Ocala, FL
National Provider Identifier
1902071970
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4288 Issued in FL
Practice address
8075 SW Highway 200
Ste 107
Ocala, FL 34481-7823
Phone
(352) 369-3937
Fax
(352) 236-7006
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4288 FL Primary
Optometrist 152W00000X OPT002436 GA

Addresses

Primary practice location

8075 SW Highway 200
Ste 107
Ocala, FL 34481-7823

Mailing address

8075 SW Highway 200
Ste 107
Ocala, FL 34481-7823
Phone (352) 369-3937

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100914000566 FL Practitioner - Optometry 6204951254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8430 SW 103Rd St Rd
Ocala, FL 34481-7766
Phone (352) 369-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4288FLMDOptometrist
OPT002436GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah a Kennedy OD PA Optometrist CurrentSince Sep 13, 2011 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Gulf Coast Optometry, PA PastSince Jun 1, 2010 Accepting new patients

Locations

8430 SW 103rd Street Rd
Ocala, FL 34481
Phone (352) 369-3937

8075 SW Highway 200
Unit 107
Ocala, FL 34481
Phone (352) 369-3937

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1902071970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 SW HIGHWAY 200",
            "address_2": "STE 107",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817823",
            "telephone_number": "352-369-3937",
            "fax_number": "352-236-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 SW HIGHWAY 200",
            "address_2": "STE 107",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817823",
            "telephone_number": "352-369-3937",
            "fax_number": "352-236-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SARAH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4288",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.