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

Dr. Kennedy Morgan Simmons, OD

Individual provider Optometrist · NPI 1114766607

Dr. Kennedy Morgan Simmons, OD is an Optometry in Stillwater, Minnesota. Graduated from Illinois College of Optometry at Chicago in 2024, 2 years ago. Practices with Church Health Center of Memphis Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Trained at
Illinois College of Optometry at Chicago
Licensed in
MN
In the registry since
2024
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

2950 Curve Crest Blvd W
Stillwater, MN 55082-5085
Phone: (651) 275-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3953 (MN)

Record details

NPI number1114766607
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 23, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJune 6, 2024
Mailing address2950 Curve Crest Blvd W, Stillwater, MN 55082-5085

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2024 (2 years in practice)
Group practice Church Health Center Of Memphis Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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