KENNEDY EYECARE LLC
NPI 1821343617
Optometrist in Mcalester, OK

Q: What is Kennedy Eyecare LLC's NPI number?

The NPI number for Kennedy Eyecare LLC is 1821343617. It was assigned to this organization in the NPPES registry on July 17, 2012.

Q: What is Kennedy Eyecare LLC's specialty?

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

Active since July 17, 2012

1400 WADE WATTS AVE, MCALESTER, OK 74501(918) 429-1400(918) 429-1403 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2022, Dec 8, 2022, Sep 23, 2022 and 1 more (4 updates tracked since 2022).

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About Kennedy Eyecare Llc NPPES

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

KENNEDY EYECARE LLC (NPI 1821343617) is a healthcare organization registered as an optometrist in Mcalester, Oklahoma and active in the NPI registry since July 2012. The organization maintains a secondary practice location in Checotah and lists Crystie Leigh Wesley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1821343617

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameKENNEDY EYECARE LLC

Location Address1400 WADE WATTS AVEMcalester, OK 74501

Mailing Address1400 Wade Watts AveMcalester, OK 74501 · (918) 429-1400 · Fax (918) 429-1403

Phone(918) 429-1400

Fax(918) 429-1403

Organization SubpartNo

Authorized OfficialCrystie Leigh WesleyOffice Manager · (918) 429-1400

Enumeration DateJuly 17, 2012

Last NPPES UpdateDecember 30, 20224 updates tracked since enumeration

NPPES CertifiedDecember 30, 2022

✔ NPI 1821343617 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 OK · 2160

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.

1400 WADE WATTS AVE, Mcalester, OK 74501

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Secondary Practice Location 1

Location 1205 W Okmulgee AveChecotah, OK 74426-2408 · Phone (918) 473-2308

Other Identifiers 1

Medicaid200454560AOK

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 Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.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 Eyecare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Kennedy Eyecare LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Craig Kennedy, OD

Optometry

NPI 1992768113

1400 E WADE WATTS AVE
Mcalester, OK 74501

(918) 429-1400

✔ PECOS✔ Accepts MedicareSame address

Anna Million, OD

Optometry

NPI 1699404277

1400 E WADE WATTS AVE
Mcalester, OK 74501

(918) 429-1400

✔ PECOS✔ Accepts MedicareSame address

Michael Million, OD

Optometry

NPI 1568107209

1400 E WADE WATTS AVE
Mcalester, OK 74501

(918) 429-1400

✔ PECOS✔ Accepts MedicareSame address

Carlye Kennedy, OD

Optometry

NPI 1831010107

1722 W LIBERTY RD
Atoka, OK 74525

(580) 292-0144

✔ PECOS✔ Accepts Medicare43 mi

Catherine Carlin, O.D.

Optometry

NPI 1902804172

6303 NW 23RD ST
Bethany, OK 73008

(405) 782-0300

✔ PECOS✔ Accepts Medicare113 mi

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

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 Eyecare LLC's NPI number?

The NPI number for Kennedy Eyecare LLC is 1821343617. It was assigned to this organization in the NPPES registry on July 17, 2012.

Where is Kennedy Eyecare LLC located?

Kennedy Eyecare LLC is located at 1400 Wade Watts Ave, Mcalester, OK 74501. The listed phone number is (918) 429-1400.

What is Kennedy Eyecare LLC's specialty?

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

Is Kennedy Eyecare LLC enrolled in Medicare?

Yes. Kennedy Eyecare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kennedy Eyecare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Kennedy Eyecare LLC. 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.

What insurance does Kennedy Eyecare LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Kennedy Eyecare LLC 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 Eyecare LLC was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.