Kennedy & Young Optometry

Optometrist · Modesto, CA

Organization Active NPI

NPI number 1912119942

Practice location

1401 Sylvan Ave
Modesto, CA 95355-1367
Phone
(209) 527-6640
Fax
(209) 527-5489

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NPI record

NPI
1912119942
Entity type
Organization (Type 2)
Enumeration date
May 3, 2007
Last updated
October 5, 2022
Certified
September 28, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X — —

Authorized official

Name
Trisha Frick
Title
Billing Specialist
Phone
(209) 527-6640

Other names

  • Valley Optometric Group
  • Valley Optometric Group

About Kennedy & Young Optometry

Kennedy & Young Optometry is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1401 Sylvan Ave, Modesto, CA 95355-1367. The NPI number 1912119942 was assigned on May 3, 2007 and the record was last updated on October 5, 2022.

The authorized official for this organization is Trisha Frick, Billing Specialist.

Frequently asked questions

What is the NPI number of Kennedy & Young Optometry?

The NPI number is 1912119942.

What is the phone number of Kennedy & Young Optometry?

The phone number listed for the practice location is (209) 527-6640.

Where is Kennedy & Young Optometry located?

1401 Sylvan Ave, Modesto, CA 95355-1367.

What is the taxonomy code for Kennedy & Young Optometry?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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