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

Paul R Kennedy, OD

Individual provider Optometrist · NPI 1013063114

Paul R Kennedy, OD is an Optometry in Lansing, Michigan. Qualified in 1995, 31 years ago. Practices with Bennett Optometry LLC, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
31
Licensed in
MI
In the registry since
2007
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

2117 E Grand River Ave
Lansing, MI 48912-3231
Phone: (517) 485-2213
Fax: (517) 485-2220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5857 West Saginaw Highway, Lansing, MI 48917-2460 — (517) 323-8221

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901003763 (MI)

Record details

NPI number1013063114
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 18, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Bennett Optometry Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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