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

Dr. Kenneth Robert Tennant, OD

Individual provider Optometrist · NPI 1578542221

Dr. Kenneth Robert Tennant, OD is an Optometry in Madison, Georgia. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
24
Licensed in
GA
In the registry since
2006
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

223 S Main St
Madison, GA 30650-1351
Phone: (706) 343-1876
Fax: (706) 343-1877
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2045 (GA)

Record details

NPI number1578542221
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESDecember 11, 2009
Mailing address223 S Main St, Madison, GA 30650-1351

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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