MONICA S KENNEDY (O.D.) – Optometrist, NPI 1275911950
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
619 OPTOMETRY in AL
Provider Addresses for MONICA S KENNEDY (O.D.)
1716 UNIVERSITY BLVD
HPB G080
BIRMINGHAM, AL 352940010
Phone: (205) 975-2020
Fax: (205) 934-6755
Type: Location
313 S LAKEWOOD DR
BRANDON, FL 335112815
Phone: (813) 653-6100
Type: Location
7048 TYLERWOOD CT
MILTON, FL 325703294
Phone: (813) 653-6100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-07-11
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150716002480 | I | Optometry | AL | TBD |
| I20201103000499 | I | Optometry | NJ | TBD |
| I20210209000159 | I | Optometry | TX | TBD |
| I20230502001827 | I | Optometry | GA | TBD |
| I20230711001877 | I | Optometry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35294)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL | |
| - | AL | |
| - | FL | |
| Family Practice | FL | |
| - | FL | |
| P O D I A T R Y | LA | |
| C H I R O P R A C T I C | TX | |
| - | FL |
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