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

Dr. Robert Bach Kennedy, OD

Individual provider Optometrist · NPI 1023000312

Dr. Robert Bach Kennedy, OD is an Optometrist in Roseville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
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

1790 Lexington Ave N
Roseville, MN 55113-6167
Phone: (651) 488-6771
Fax: (651) 488-5576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence LD1699000 (MN)

Record details

NPI number1023000312
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 22, 2005
Last updated in NPPESJuly 13, 2026

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