Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. ROBERT BACH KENNEDY OD
NPI 1023000312
Optometrist in Roseville, MN

Active since August 22, 2005
1790 LEXINGTON AVE N, ROSEVILLE, MN 55113(651) 488-6771(651) 488-5576 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Robert Bach Kennedy Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT BACH KENNEDY OD (NPI 1023000312) is an individual optometrist in Roseville, Minnesota, licensed in Minnesota (LD1699000) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1023000312
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROBERT BACH KENNEDYCredential: OD
Location Address1790 LEXINGTON AVE NRoseville, MN 55113-6167
Mailing Address1790 Lexington Ave NRoseville, MN 55113-6167 · (651) 488-6771 · Fax (651) 488-5576
Fax(651) 488-5576
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1023000312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MN · LD1699000
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1790 LEXINGTON AVE N, Roseville, MN 55113

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1790 LEXINGTON AVE N, STE B
ROSEVILLE, MN 55113
Dentist
1790 LEXINGTON AVE N
ROSEVILLE, MN 55113
Optometrist
1790 LEXINGTON AVE N
SAINT PAUL, MN 55113
Technician/Technologist (Optician)
1790 LEXINGTON AVE N
SAINT PAUL, MN 55113
Clinic/Center (Adult Day Care)
1790 LEXINGTON AVE N
SAINT PAUL, MN 55113
Dentist (General Practice)
1790 LEXINGTON AVE N, SUITE B
ROSEVILLE, MN 55113
Clinic/Center (Oral and Maxillofacial Surgery)
1790 LEXINGTON AVE N
ROSEVILLE, MN 55113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Kennedy's NPI number?

The NPI number for Robert Kennedy is 1023000312. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Robert Kennedy located?

Robert Kennedy practices at 1790 Lexington Ave N, Roseville, MN 55113. The listed phone number is (651) 488-6771.

What is Robert Kennedy's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Robert Kennedy was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.