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

Caleb Joseph Kennedy, OD

Individual provider Optometrist · NPI 1205064334

Caleb Joseph Kennedy, OD is an Optometry in Pembroke Pines, Florida. Qualified in 2006, 20 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

18503 Pines Blvd Ste 205
Pembroke Pines, FL 33029-1405
Phone: (954) 430-8330
Fax: (954) 430-3638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 004146 (FL)
Optometrist Taxonomy 152W00000X · Licence 4146 (FL)

Record details

NPI number1205064334
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 26, 2009
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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