NPI 1104167345

Kennedy Vision PA

Organisation Optometrist Pembroke Pines, FL

Practice location

Address: 18503 Pines Blvd STE 205, Pembroke Pines, FL 33029-1405
Phone: (954) 430-8330
Fax: (954) 430-3638

Authorised official

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

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPC4146 (FL)

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Registry record

NPI: 1104167345
Entity type: Organization
NPI issued: 13 Mar 2013
Record last updated: 28 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.