DR. KATHLEEN GRACE KENNEDY O.D.
NPI 1356440804
Optometrist in San Francisco, CA

Q: What is Kathleen Kennedy's NPI number?

The NPI number for Kathleen Kennedy is 1356440804. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Kathleen Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Kennedy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 21, 2006PECOS Enrolled

552 CASTRO ST, SAN FRANCISCO, CA 94114(415) 626-0858(415) 626-9648 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Kathleen Grace Kennedy O.d. NPPES

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

DR. KATHLEEN GRACE KENNEDY O.D. (NPI 1356440804) is an individual optometrist in San Francisco, California, licensed in California (9017T) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356440804

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. KATHLEEN GRACE KENNEDYCredential: O.D.

Location Address552 CASTRO STSan Francisco, CA 94114-2512

Mailing Address552 Castro StSan Francisco, CA 94114 · (415) 626-0858 · Fax (415) 626-9648

Phone(415) 626-0858

Fax(415) 626-9648

Sole ProprietorYes

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1356440804 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 CA · 9017T

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.

552 CASTRO ST, San Francisco, CA 94114

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Other Identifiers 1

Medicare ID-Type UnspecifiedSD0090170CA · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathleen Grace Kennedy O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tonya Watson O D Inc

Same address

Optometrist

552 CASTRO ST
San Francisco, CA 94114

Reassigned Medicare billing, California enrollment
Medicare enrollment name: For Your Eyes Only Optometry, Apc
2 clinicians in this Medicare group

NPI 1992987325 (415) 626-0858

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

23 services23 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. RAYMOND FONG LUM O.D.

Optometrist

552 CASTRO ST
SAN FRANCISCO, CA 94114

San Francisco County (415) 562-0858

DR. TONYA WATSON O.D., PH.D.

Optometrist

552 CASTRO ST
SAN FRANCISCO, CA 94114

San Francisco County (415) 626-0858

TONYA WATSON O D INC

Optometrist

552 CASTRO ST
SAN FRANCISCO, CA 94114

San Francisco County (415) 626-0858

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 Kathleen Kennedy's NPI number?

The NPI number for Kathleen Kennedy is 1356440804. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Kathleen Kennedy located?

Kathleen Kennedy practices at 552 Castro St, San Francisco, CA 94114. The listed phone number is (415) 626-0858.

What is Kathleen Kennedy's specialty?

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

Is Kathleen Kennedy enrolled in Medicare?

Yes. Kathleen Kennedy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Kennedy reassigns Medicare benefits to Tonya Watson O D Inc (San Francisco, CA). The 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 Kathleen Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathleen Kennedy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.