DR. MEADE H III KENDRICK (O.D.) – Optometrist, NPI 1104941129

DR. MEADE H III KENDRICK (O.D.) is a healthcare provider. based in Memphis, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. TOD1158 (TN). The NPI Number for DR. MEADE H III KENDRICK (O.D.) is 1104941129

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. MEADE H III KENDRICK (O.D.)
NPI
1104941129
Phone
(901) 682-3937
Address
6150 POPLAR AVE STE 115
Enumeration Date
20 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
4232654306
Graduation Year
1987 (39 years ago)
PAC ID
4082948393
Group Practice PAC ID
1759646995
Professional Enrollment ID
I20190620000291
Address ID
TN374024891CH629XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for DR. MEADE H III KENDRICK (O.D.)

  • 6150 POPLAR AVE STE 115

    MEMPHIS, TN 381194744

    Phone: (901) 682-3937

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $672.

Total Amount is formed as General ($672) + Research ($0) + Ownership ($0) = $672.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Alcon Vision LLC ($271).

Total Amount

$672

General + Research + Ownership

Payments

10

Total payment records

General Amount

$672

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190620000291IOptometryTNTBD

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.

Verify on CMS Revalidation Lookup Tool

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 38119)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759646995View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YTN
O P T O M E T R YVA
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YVA
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN

Reviews

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Frequently asked questions

What number should I use to identify DR. MEADE H III KENDRICK (O.D.) for billing?
Administrative and clinical systems typically use NPI 1104941129 for DR. MEADE H III KENDRICK (O.D.).
Should I treat DR. MEADE H III KENDRICK (O.D.) as an active provider?
Patients and plans typically see DR. MEADE H III KENDRICK (O.D.) as active in the national extract.
Which specialty label fits DR. MEADE H III KENDRICK (O.D.)?
NPPES ties DR. MEADE H III KENDRICK (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MEADE H III KENDRICK (O.D.)?
DR. MEADE H III KENDRICK (O.D.) shows a connection to Memphis, Tennessee in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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