Kenneth E. Sweeney, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7367T Issued in CA

Practice address

825 Pollard Rd
#208
Los Gatos, CA 95032-1435

Phone

(408) 378-1701

Fax

(408) 378-2596

NPI assigned

Feb 2, 2006

Last updated

Dec 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 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

University of California - School of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fyidoctors of California IncGroup PAC ID 3577961572, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janis Valorie Gong, O.D.

  • Optometrist
  • Los Gatos, CA
  • NPI 1962477109
  Medicare reassignment
• Elysia Ison, OD

  • Optometrist
  • San Jose, CA
  • NPI 1467944041
  Medicare reassignment
• Titi Nguyen Le, OD

  • Optometrist
  • Santa Clara, CA
  • NPI 1568066926
  Medicare reassignment

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.

• Fyidoctors of California, Inc.

  • Optometrist
  • Roseville, CA
  • NPI 1437718418
  Medicare reassignment Care Compare group NPD
• Kenneth E. Sweeney, O.D., Inc.

  • Optometrist
  • Los Gatos, CA
  • NPI 1114524196
  NPD Authorized official
• Brent P. Chinn, OD and David M. Redman, OD, Optometric Group, Inc

  dba Precision Eyecare Centers

  • Optometrist
  • Mountain View, CA
  • NPI 1538497540
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1962474221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 POLLARD RD",
            "address_2": "#208",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321435",
            "telephone_number": "408-378-1701",
            "fax_number": "408-378-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 POLLARD RD",
            "address_2": "#208",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321435",
            "telephone_number": "408-378-1701",
            "fax_number": "408-378-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "KENNETH",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7367T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "SD0073670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sutter Bay Medical Foundation (Palo Alto Medical Foundation)
• Lauren Jeanette Swaney
• Dennis B Swanson, D.D.S.
• Melinda McQuiston Swanson, LCSW
• Swati Mungekar MD Inc
• Steven L. Swengel, MD
• Victoria Sue Swenson, MFC 44850
• Synergy Physical Therapy Rehabilitation Network, Inc.
• T SQRD Medical Group, P.a.
• Rodney A Tabares

• Optometrist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.