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

Kennedy Vision Health Center, LLC

Organization Optometrist · NPI 1255165932

Kennedy Vision Health Center, LLC is an Optometrist in Otsego, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
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

9075 Quantrelle Ave NE Ste 300
Otsego, MN 55330-0139
Phone: (763) 545-8850
Fax: (763) 441-7631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1255165932
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Traverse — Od/Owner · (763) 545-8850
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address10600 Old County Road 15, Plymouth, MN 55441-6200

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