MR. KIM NEELY L.O.
NPI 1063509735
Technician/Technologist - Optician in Putnam, CT

Active since October 06, 2006
5 KENNEDY DR, PUTNAM, CT 06260(860) 928-6321(860) 928-2239 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kim Neely L.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KIM NEELY L.O. (NPI 1063509735) is an individual optician in Putnam, Connecticut, licensed in Connecticut (812) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063509735
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameMR. KIM NEELYCredential: L.O.
Location Address5 KENNEDY DRPutnam, CT 06260-1939
Mailing Address5 Kennedy DrPutnam, CT 06260-1939 · (860) 928-6321 · Fax (860) 928-2239
Fax(860) 928-2239
Sole ProprietorYes
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1063509735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License Licensed in CT · 812
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
5 KENNEDY DR, Putnam, CT 06260

Other Identifiers 1

Medicare ID-Type Unspecified0821000001CT · Medicare Provider Number

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
5 KENNEDY DR
PUTNAM, CT 06260
Ophthalmology
5 KENNEDY DR
PUTNAM, CT 06260
Eyewear Supplier
5 KENNEDY DR
PUTNAM, CT 06260
Ophthalmology
5 KENNEDY DR
PUTNAM, CT 06260
Technician/Technologist (Optician)
5 KENNEDY DR
PUTNAM, CT 06260
Ophthalmology
5 KENNEDY DR
PUTNAM, CT 06260
Optometrist
5 KENNEDY DR
PUTNAM, CT 06260
Eyewear Supplier
5 KENNEDY DR
PUTNAM, CT 06260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Neely's NPI number?

The NPI number for Kim Neely is 1063509735. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Kim Neely located?

Kim Neely practices at 5 Kennedy Dr, Putnam, CT 06260. The listed phone number is (860) 928-6321.

What is Kim Neely's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Kim Neely was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.