Kennedy & Perkins, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

001631 Issued in CT

Legal business name

KENNEDY & PERKINS, INC.

Practice address

93 Boston Post Rd
Orange, CT 06477-3203

Phone

(203) 799-3937

Fax

(203) 799-0188

NPI assigned

Mar 14, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Richard L Kennedy Jr., LDO

Title

Vice President

Phone

(203) 624-3145

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Sophia Nychka, O.D.

  • Optometrist
  • Orange, CT
  • NPI 1972728525
  NPD (past)

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1962700039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101217",
            "telephone_number": "203-624-3145",
            "fax_number": "203-867-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773203",
            "telephone_number": "203-799-3937",
            "fax_number": "203-799-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY & PERKINS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-624-3145",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "001631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004036372",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICIAN",
            "identifier": "000603",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Katzman
• Jessica Kearney
• William Keefe
• Kathryn Kelly, LPC, CLAT
• Kourtney Marie Kelly, RN
• Khaled Mohamed, MD LLC
• Ali Khan
• Anum Khan
• Jee Yoon Kim, ANP
• Kristina May Kim

• Eyewear Supplier in Orange, CT
• Providers in Orange, CT by specialty
• Eyewear Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.