LISA A KENNEDY (NPI# 1407822265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407822265 |
| Entity Type | Individual |
| Full Name | LISA A KENNEDY |
| Credential | O.D. |
| Practice Address |
4515 Southlake Pkwy Birmingham AL 35244-3317 |
| Mailing Address |
Po Box 43366 Birmingham AL 35243-0366 |
| Practice Telephone | 2059872020 |
| Practice Fax Number | 2059880588 |
| Mailing Telephone | 2059952020 |
| Mailing Fax Number | 2059919654 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-987-TA-572 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AL BOARD OF OPTOMETRY | S-987-TA-572 | 01 |
| AL | DEA | MK0830011 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752579 | Lisa Kennedy | Peer Specialist | 132 Ne B St # 24, Grants Pass, OR 97526-2114 | 2020-02-13 |
| 1710296009 | Lisa Kennedy | Dietitian, Registered | 4635 Ne Stallings Dr Ste 104, Nacogdoches, TX 75965 | 2010-10-04 |
| 1831698968 | Lisa M Kennedy | Physical Therapist | 6301 Northumberland St, Pittsburgh, PA 15217-1360 | 2018-02-05 |
| 1356719637 | Lisa Kennedy | Marriage & Family Therapist | 2095 W 6th Ave, Suite 206, Broomfield, CO 80020-1870 | 2015-09-03 |
| 1124422332 | Lisa Kennedy | Counselor | 3525 Colby Ave Ste 200, Everett, WA 98201-4782 | 2014-10-17 |
| 1033519848 | Lisa Kennedy | Audiologist-Hearing Aid Fitter | 974 Sw Veterans Way, Suite 2, Redmond, OR 97756-2564 | 2014-08-28 |
| 1740539238 | Lisa Kennedy | Counselor | 11027 Burbank Blvd, North Hollywood, CA 91601-2431 | 2012-08-30 |
| 1215223508 | Lisa Kennedy | Speech-Language Pathologist | 41 Oconnor Rd, Fairport, NY 14450-1327 | 2011-06-24 |
| 1205136751 | Lisa T Kennedy | Pharmacist | 6460 E Yale Ave, Denver, CO 80222-7156 | 2010-11-01 |
| 1578570743 | Lisa Shea Kennedy | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2006-08-01 |
| Street Address |
4515 SOUTHLAKE PKWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35244-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245538388 | Jason Lane Stephenson | Optometrist | 4515 Southlake Pkwy, Birmingham, AL 35244-3317 | 2011-03-13 |
| 1023319563 | Robert J Sciacca Md PC | Otolaryngology | 4515 Southlake Pkwy, Ste 300, Birmingham, AL 35244-3317 | 2010-11-16 |
| 1154538387 | Ginga Gonzalez | Dentist | 4515 Southlake Pkwy, Suite 101, Birmingham, AL 35244-3317 | 2007-05-17 |
| 1043308893 | Kevin Michael Sims | Dentist | 4515 Southlake Pkwy, Suite 150, Birmingham, AL 35244-3317 | 2006-10-10 |
| 1841301959 | Kelly Elise Hill | Dentist | 4515 Southlake Pkwy, Suite 200, Birmingham, AL 35244-3317 | 2006-08-31 |
| 1518078674 | Medplex Pediatric Dentistry, Inc. | Dentist | 4515 Southlake Pkwy, Suite 200, Birmingham, AL 35244-3317 | 2006-08-31 |
| 1134137755 | Charles Steven Daughtry | Dentist | 4515 Southlake Pkwy, Ste 101, Birmingham, AL 35244-3317 | 2006-08-03 |
| 1518981034 | Larry Gene Deep | Dentist | 4515 Southlake Pkwy, Suite 101, Birmingham, AL 35244-3317 | 2006-07-27 |
| 1730103136 | Emily Ingram Payne | Dentist | 4515 Southlake Pkwy, Suite 101, Birmingham, AL 35244-3317 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560418 | Blue Vision Center LLC | Optometrist | 2818 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-08-28 |
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1841842275 | Derek Haden | Optometrist | 4233 3rd Ave S Apt 104, Birmingham, AL 35222-2022 | 2019-07-16 |
| 1659933448 | National Vision Inc | Optometrist | 1616 Gadsden Hwy Ste 100, Birmingham, AL 35235-3147 | 2019-07-02 |
| 1487140828 | Lauren Moriah Boudousquie | Optometrist | 700 19th St S # 124, Birmingham, AL 35233-1927 | 2018-07-09 |
| 1578055943 | Ashley Becking Smith | Optometrist | 1716 University Blvd G090a, Birmingham, AL 35294 | 2018-06-01 |
| 1164914461 | Amy H Vinogradov | Optometrist | 1716 University Blvd # G090a, Birmingham, AL 35233-1816 | 2018-06-01 |
| 1871084723 | John James Bushaw Iv | Optometrist | 800 S Adams Rd Ste 201, Birmingham, MI 48009-7008 | 2018-05-27 |
| 1992215719 | Christopher Hahn Lee | Optometrist | 700 19th St S # Sbrc124, Birmingham, AL 35233-1927 | 2017-10-06 |
| 1215447073 | Myeyedr Optometry of Alabama LLC | Optometrist | 5510 Highway 280 Ste 213, Birmingham, AL 35242-6583 | 2017-10-06 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35244 |
Please comment or provide details below to improve the information on LISA A KENNEDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.