DR. MARY C KENNEDY O.D.
NPI 1881754000
Optometrist in Snellville, GA

Q: What is Mary Kennedy's NPI number?

The NPI number for Mary Kennedy is 1881754000. It was assigned to this individual provider in the NPPES registry on December 11, 2006. The provider is also known as Mrs. Mary C. Deheck.

Q: What is Mary 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 Mary 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 December 11, 2006PECOS Enrolled

1550 SCENIC HWY N, SNELLVILLE, GA 30078(770) 979-9456 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mary C Kennedy O.d. NPPES

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

DR. MARY C KENNEDY O.D. (NPI 1881754000) is an individual optometrist in Snellville, Georgia, licensed in Georgia (OPT001335) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881754000

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. MARY C KENNEDYCredential: O.D.

Location Address1550 SCENIC HWY NSnellville, GA 30078-2130

Mailing Address1850 Milfield CirSnellville, GA 30078-2079 · (770) 736-6185

Phone(770) 979-9456

Sole ProprietorYes

Enumeration DateDecember 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1881754000 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 GA · OPT001335

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.

1550 SCENIC HWY N, Snellville, GA 30078

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Other Names 1

Other Name (5)Mrs. Mary C. Deheck

Other Identifiers 1

Medicare ID-Type Unspecified41ZCDBT

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary C 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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 9

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

REDICLINIC US, LLC

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