KENNEDY OPHTHALMOLOGY ASSOCIATES PLLC
NPI 1215150552
Ophthalmology in Schenectady, NY

Q: What is Kennedy Ophthalmology Associates PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since April 11, 2007

1675 PROVIDENCE AVE, SCHENECTADY, NY 12309(518) 377-3410(518) 377-0436 Get Directions Write a Review

NPPES record last updated: February 14, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kennedy Ophthalmology Associates Pllc NPPES

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

KENNEDY OPHTHALMOLOGY ASSOCIATES PLLC (NPI 1215150552) is a healthcare organization registered as an ophthalmology in Schenectady, New York and active in the NPI registry since April 2007. The organization lists John J Kennedy, Physician, as its authorized official.

NPPES Registry Identity

NPI1215150552

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameKENNEDY OPHTHALMOLOGY ASSOCIATES PLLC

Location Address1675 PROVIDENCE AVESchenectady, NY 12309

Mailing Address1675 Providence AveSchenectady, NY 12309 · (518) 377-3410 · Fax (518) 377-0436

Phone(518) 377-3410

Fax(518) 377-0436

Organization SubpartNo

Authorized OfficialJohn J KennedyPhysician · (518) 377-3410

Enumeration DateApril 11, 2007

Last NPPES UpdateFebruary 14, 2013

✔ NPI 1215150552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1675 PROVIDENCE AVE, Schenectady, NY 12309

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Other Identifiers 1

Medicare ID-Type UnspecifiedAA0518

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 Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Ophthalmology Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Kennedy Ophthalmology Associates PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

John Kennedy, MD

Ophthalmology

NPI 1356382378

1675 PROVIDENCE AVE
Schenectady, NY 12309

(518) 377-3439

✔ PECOSSame address

Glenn Thompson, M.D.

Ophthalmology

NPI 1689880163

1675 PROVIDENCE AVE
Schenectady, NY 12309

(518) 377-3439

✔ PECOS✔ Accepts MedicareSame address

Robert Kennedy, MD

Ophthalmology

NPI 1801817424

1675 PROVIDENCE AVENUE
Schenectady, NY 12309

(518) 377-3439

✔ PECOS✔ Accepts MedicareSame address

Erica Archer, M.D.

Ophthalmology

NPI 1518227743

1000 WALL ST
Ann Arbor, MI 48105

(734) 764-4190

✔ PECOS503 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Kennedy Optical carries, from the Medicare DMEPOS supplier directory.

Kennedy Optical

DMEPOS supplier · Schenectady, NYOperated by Kennedy Ophthalmic Associates PLLC

✔

Accepts Medicare assignment

Kennedy Optical agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20591969

Medicare Participant SinceJanuary 1, 2004

Supplier Location1675 Providence AveSchenectady, NY 12309

Phone(518) 377-2144

Provider TypePhysician – Ophthalmology

Supplier Specialties

Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Prosthetic Lenses: Conventional Contact Lenses

Conventional Contact Lenses

Prosthetic Lenses: Prosthetics Cataract Lenses

Cataract Eyeglasses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Ophthalmology Associates PLLC's NPI number?

The NPI number for Kennedy Ophthalmology Associates PLLC is 1215150552. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Kennedy Ophthalmology Associates PLLC located?

Kennedy Ophthalmology Associates PLLC is located at 1675 Providence Ave, Schenectady, NY 12309. The listed phone number is (518) 377-3410.

What is Kennedy Ophthalmology Associates PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kennedy Ophthalmology Associates PLLC enrolled in Medicare?

Yes. Kennedy Ophthalmology Associates PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kennedy Ophthalmology Associates PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Kennedy Ophthalmology Associates PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kennedy Ophthalmology Associates PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kennedy Optical accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Kennedy Ophthalmology Associates PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Kennedy Ophthalmology Associates PLLC 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 Ophthalmology Associates PLLC was last updated on February 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.