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

Individual provider Optometrist · NPI 1417980913

Edward M Kenshock, OD is an Optometry in Fayetteville, North Carolina. Graduated from Pennsylvania College of Optometry in 2000, 26 years ago. Practices with Cape Fear Eye Associates PA, a 9-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
26
Trained at
Pennsylvania College of Optometry
Licensed in
NC
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

1629 Owen Dr
Fayetteville, NC 28304-3456
Phone: (910) 484-2284
Fax: (910) 484-1673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1799 (NC)

Record details

NPI number1417980913
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2000 (26 years in practice)
Group practice Cape Fear Eye Associates Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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