1. Home
  2. Directory
  3. Florida
  4. Pembroke Pines
  5. Optometrist
  6. NPI Profile

KENNEDY VISION PA
NPI 1104167345
Optometrist in Pembroke Pines, FL

Active since March 13, 2013
18503 PINES BLVD STE 205, PEMBROKE PINES, FL 33029(954) 430-8330(954) 430-3638 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2025, Jun 18, 2020 (2 updates tracked since 2020).

About Kennedy Vision Pa NPPES

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

KENNEDY VISION PA (NPI 1104167345), doing business as The Family Eye Site, is a healthcare organization registered as an optometrist in Pembroke Pines, Florida and active in the NPI registry since March 2013. The organization lists Caleb Joseph Kennedy, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1104167345
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKENNEDY VISION PA
Location Address18503 PINES BLVD STE 205Pembroke Pines, FL 33029-1405
Mailing Address18503 Pines Blvd Ste 205Pembroke Pines, FL 33029-1405 · (954) 430-8330 · Fax (954) 430-3638
Phone(954) 430-8330
Fax(954) 430-3638
Organization SubpartNo
Authorized OfficialCaleb Joseph KennedyOptometrist/owner · (954) 430-8330
Enumeration DateMarch 13, 2013
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1104167345 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 FL · OPC4146
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.
18503 PINES BLVD STE 205, Pembroke Pines, FL 33029
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Family Eye Site

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Wellpoint.Insurance ›

Other Providers at the Same Location NPPES

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

CALEB JOSEPH KENNEDY O.D.
Optometrist
18503 PINES BLVD STE 205
PEMBROKE PINES, FL 33029
Broward County (954) 430-8330

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 Kennedy Vision PA's NPI number?

The NPI number for Kennedy Vision PA is 1104167345. It was assigned to this organization in the NPPES registry on March 13, 2013. The provider is doing business as The Family Eye Site.

Where is Kennedy Vision PA located?

Kennedy Vision PA is located at 18503 Pines Blvd Ste 205, Pembroke Pines, FL 33029. The listed phone number is (954) 430-8330.

What is Kennedy Vision PA's specialty?

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

What insurance does Kennedy Vision PA accept?

Health plans from BlueCross BlueShield of Tennessee and Wellpoint list Kennedy Vision PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kennedy Vision PA was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.