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MISS CARLYE ELIZABETH KENNEDY OD
NPI 1831010107
Optometrist in Atoka, OK

Active since July 23, 2026PECOS EnrolledAccepts Medicare Assignment
1722 W LIBERTY RD, ATOKA, OK 74525(580) 292-0144(580) 292-0142 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Carlye Elizabeth Kennedy Od NPPES

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

MISS CARLYE ELIZABETH KENNEDY OD (NPI 1831010107) is an individual optometrist in Atoka, Oklahoma, licensed in Oklahoma (3348) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mcalester, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1831010107
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMISS CARLYE ELIZABETH KENNEDYCredential: OD
Location Address1722 W LIBERTY RDAtoka, OK 74525-1705
Mailing Address1400 E Wade Watts AveMcalester, OK 74501-5652 · (918) 429-1400 · Fax (918) 429-1403
Phone(580) 292-0144
Fax(580) 292-0142
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1831010107 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 · 3348
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.
1722 W LIBERTY RD, Atoka, OK 74525
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Secondary Practice Location 1

Location 11400 E Wade Watts AveMcAlester, OK 74501-5652 · Phone (918) 429-1400 · Fax (918) 429-1403

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Carlye Elizabeth Kennedy Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749740439
PECOS Enrollment IDI20260901004950
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 Carlye Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kennedy Eyecare LLC
2.3 mi
Optometrist
1722 W LIBERTY RD
Atoka, OK 74525
  • Reassigned Medicare billing, Oklahoma enrollment
  • 5 clinicians in this Medicare group
NPI 1770282444 (580) 292-0144

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74525 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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

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

KENNEDY EYECARE LLC
Optometrist
1722 W LIBERTY RD
ATOKA, OK 74525
Atoka County (580) 292-0144

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 Carlye Kennedy's NPI number?

The NPI number for Carlye Kennedy is 1831010107. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Carlye Kennedy located?

Carlye Kennedy practices at 1722 W Liberty Rd, Atoka, OK 74525. The listed phone number is (580) 292-0144.

What is Carlye Kennedy's specialty?

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

Is Carlye Kennedy enrolled in Medicare?

Yes. Carlye Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Carlye Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlye Kennedy reassigns Medicare benefits to Kennedy Eyecare LLC (Atoka, OK). 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 Carlye Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlye Kennedy accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Carlye Kennedy 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 Carlye Kennedy was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.