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Kennedy Vision PA

Optometrist in Pembroke Pines, FL · enumerated 2013 · authorized official Caleb Kennedy, Optometrist/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104167345

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Registry record

Entity type Organization (Type 2)
Legal business name Kennedy Vision PA
Other name <Unavail>
Practice address 18503 Pines Blvd Ste 205, Pembroke Pines, FL, 33029
Phone (954) 430-8330
Fax (954) 430-3638
Enumeration date Mar 13, 2013
Last updated in NPPES May 28, 2025

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License OPC4146 (FL) Primary

Authorized official

Name Caleb Kennedy
Title Optometrist/Owner
Phone (954) 430-8330

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Kennedy Vision PA?
NPPES lists Caleb Kennedy (Optometrist/Owner) as the authorized official for this organization.
What is the NPI number for Kennedy Vision PA?
The NPI for Kennedy Vision PA is 1104167345, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-28.