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

Dr. Douglas W Kennedy, OD

Individual provider Optometrist · NPI 1912042466

Dr. Douglas W Kennedy, OD is an Optometry in Erie, Colorado. Graduated from Pacific University - College of Optometry in 1995, 31 years ago. Practices with Summit Vision Care Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
31
Trained at
Pacific University - College of Optometry
Licensed in
CO
In the registry since
2007
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

619 Mitchell Way
Erie, CO 80516-5436
Phone: (303) 828-1512
Fax: (303) 828-1514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2800 Folsom St Ste C, Boulder, CO 80304-3768 — (303) 442-6260

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1750 (CO)

Record details

NPI number1912042466
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 21, 2007
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1995 (31 years in practice)
Group practice Summit Vision Care Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Erie