# KENNEDY VISION PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Family Eye Site
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104167345
- **Authorized official:** CALEB JOSEPH KENNEDY OD (OPTOMETRIST/OWNER)
- **Authorized official phone:** (954) 430-8330

## Contact information

- **Practice address:** 18503 PINES BLVD STE 205, PEMBROKE PINES, FL 33029-1405
- **Practice address phone:** (954) 430-8330
- **Practice address fax:** (954) 430-3638
- **Mailing address:** 18503 PINES BLVD STE 205, PEMBROKE PINES, FL 33029-1405
- **Mailing address phone:** (954) 430-8330
- **Mailing address fax:** (954) 430-3638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4146 | FL | Yes |

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 05/28/2025