DR. TYLER BRENT KENNEDY (NPI# 1457607426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457607426 |
| Entity Type | Individual |
| Full Name | DR. TYLER BRENT KENNEDY |
| Credential | O.D. |
| Practice Address |
1331 Poyntz Ave Manhattan KS 66502-4362 |
| Practice Telephone | 7855372420 |
| Mailing Telephone | 7855372420 |
| Mailing Fax Number | 7855374980 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1935 | KS | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851425 | Tyler Kennedy | Pharmacist | 138 2nd Ave N, Park Falls, WI 54552-1299 | 2020-08-12 |
| 1457970477 | Tyler Kennedy | Student in an Organized Health Care Education/Training Program | 2200 Childrens Way, Nashville, TN 37232-0005 | 2020-04-09 |
| 1770092686 | Tyler C Kennedy | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2017-09-22 |
| 1730586983 | Tyler Kennedy | Specialist/Technologist | 1972 Clark Ave, Alliance, OH 44601-3929 | 2014-12-02 |
| 1376966051 | Tyler Kennedy | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2014-01-30 |
| Street Address |
1331 POYNTZ AVE |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66502-4362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932113511 | Tara Raney Hake | Optometrist | 1331 Poyntz Ave, Manhattan, KS 66502-4362 | 2006-07-28 |
| 1861661852 | Manhattan Eye Care LLC | Optometrist | 1331 Poyntz Ave, Manhattan, KS 66502-4362 | 2008-02-25 |
| 1376653006 | Ronald E Janasek | Optometrist | 1331 Poyntz Ave, Manhattan, KS 66502-4362 | 2006-08-30 |
| 1295742583 | Bruce D Oberhelman | Optometrist | 1331 Poyntz Ave, Manhattan, KS 66502-4362 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
| 1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
| 1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
| 1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
| 1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
| 1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
| Find all providers in zip 66502 | ||||
| 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 |
|---|---|---|---|---|
| 1306493044 | Steven Bartholomew Od, LLC | Optometrist | 809 N 3rd St Ste 200, Manhattan, KS 66502-6702 | 2019-08-19 |
| 1336496298 | Kristina Kennedy | Optometrist | 809 N 3rd St, Suite 200, Manhattan, KS 66502-5703 | 2012-08-10 |
| 1770852964 | Dr Jeanne Klopfenstein P A | Optometrist | 3246 Kimball Ave, Manhattan, KS 66503-2157 | 2011-12-19 |
| 1891922100 | Absolute Vision Care IIi, Inc. | Optometrist | 300 Market Pl, Manhattan, IL 60442-8100 | 2009-06-12 |
| 1922187178 | Julie Marie Witt | Optometrist | 1133 College Ave Ste D156, Manhattan, KS 66502-2784 | 2006-11-06 |
| 1164517611 | Paul E Bullock | Optometrist | 1441 Anderson Avenue, Manhattan, KS 66502-4072 | 2006-10-03 |
| 1932113511 | Tara Raney Hake | Optometrist | 1331 Poyntz Ave, Manhattan, KS 66502-4362 | 2006-07-28 |
| 1720017411 | Stigge Vision Care | Optometrist | 1202 Moro St, Manhattan, KS 66502-5353 | 2006-07-03 |
| 1114991551 | Eye Care Associates of Manhattan, P.a. | Optometrist | 1441 Anderson Ave, Manhattan, KS 66502-4072 | 2006-02-14 |
| 1326029216 | Breckenridge Charles Dilly | Optometrist | 3012 Anderson Ave, Manhattan, KS 66503-2809 | 2005-11-08 |
| Find all providers in MANHATTAN | ||||
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| 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.