Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kennedy Vision Health Center, LLC

Organization Optometrist · NPI 1033203963

Kennedy Vision Health Center, LLC is an Optometrist in Plymouth, Minnesota. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10600 Old County Road 15
Plymouth, MN 55441-6210
Phone: (763) 545-8850
Fax: (763) 544-1257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9075 Quantrelle Ave Ne Ste 300, Otsego, MN 55330-0139 — (763) 545-8850

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1033203963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Traverse — Doctor · (763) 545-8850
Other names Kenndy Vision Health Center
NPI enumeratedOctober 3, 2006
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address10600 Old County Road 15, Plymouth, MN 55441-6210

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