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

Mr. Warren Leigh Kennedy, OD

Individual provider Optometrist · NPI 1629069307

Mr. Warren Leigh Kennedy, OD is an Optometry in Modesto, California. Qualified in 1977, 49 years ago. Practices with Kennedy and Young Optometry, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
49
Licensed in
CA
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

1401 Sylvan Ave
Modesto, CA 95355-1367
Phone: (209) 527-6640
Fax: (209) 527-5489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6390TPA (CA)

Record details

NPI number1629069307
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 2, 2005
Last updated in NPPESSeptember 6, 2012

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Kennedy And Young Optometry — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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