MEDICARE: KENNEDY EYECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1033822135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENNEDY EYECARE LLC

Provider Business Mailing Address
First Line	:	1400 E WADE WATTS AVE
Second Line	:
City	:	MCALESTER
State	:	OK
Zip	:	74501-5652
Country	:	US
Telephone Number	:	918-429-1400
Fax Number	:	918-429-1403

Provider Business Practice Location Address
First Line	:	205 W OKMULGEE AVE
Second Line	:
City	:	CHECOTAH
State	:	OK
Zip	:	74426-2408
Country	:	US
Telephone Number	:	918-473-2308
Fax Number	:

Authorized Official
Title or Position	:	O.D.
Name	:	CRAIG KENNEDY
Credential	:
Telephone Number	:	918-429-1400

Provider Enumeration Date	:	01/04/2023
Last Update Date	:	01/04/2023

Similar Medicare Providers

1669454856 — DR. BILLY WAYNE HILL O.D.
Practice Location Address:

205A WEST OKMULGEE
CHECOTAH, OK
74426-2408

Practice Phone: 918-473-2308
Practice Fax: 918-473-2961

1467403550 — TRINITY HOSPICE, LLC
Practice Location Address:

201 W OKMULGEE AVE
CHECOTAH, OK
74426-2408

Practice Phone: 918-473-0505
Practice Fax: 972-386-0704

1427229699 — BILLY WAYNE HILL, O.D., P.C.
Practice Location Address:

205A WEST OKMULGEE
CHECOTAH, OK
74426-2408

Practice Phone: 918-473-2308
Practice Fax: 918-473-2961

1518946326 — MARGARET ELLA MEREDITH PA-C
Practice Location Address:

113653 OLD HIGHWAY 69
CHECOTAH, OK
74426-8802

Practice Phone: 580-565-4235
Practice Fax:

1457331076 — MISTY J HARAWAY PA
Practice Location Address:

116 SW 2ND ST
CHECOTAH, OK
74426-3602

Practice Phone: 918-473-2278
Practice Fax:

1992778278 — CHECOTAH HOLDINGS, LLC
Practice Location Address:

321 SE 2ND ST
CHECOTAH, OK
74426-4005

Practice Phone: 918-473-2251
Practice Fax:

Directions to “KENNEDY EYECARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.