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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KELLY OPTOMETRY, A PROFESSIONAL CORPORATION
NPI 1104748169
Optometrist in Denham Springs, LA

Active since July 29, 2026
201 BASS PRO BLVD, DENHAM SPRINGS, LA 70726(225) 665-2887 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Optometry, A Professional Corporation NPPES

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

KELLY OPTOMETRY, A PROFESSIONAL CORPORATION (NPI 1104748169) is a healthcare organization registered as an optometrist in Denham Springs, Louisiana and active in the NPI registry since July 2026. The organization lists Susan L Christopher-brand, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1104748169
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKELLY OPTOMETRY, A PROFESSIONAL CORPORATION
Location Address201 BASS PRO BLVDDenham Springs, LA 70726-5570
Mailing Address1 Vermont DrNew Hyde Park, NY 11042-1128
Phone(225) 665-2887
Organization SubpartYes
Authorized OfficialSusan L Christopher-brandCredentialing Manager · (703) 314-8795
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1104748169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
201 BASS PRO BLVD, Denham Springs, LA 70726
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

RUTH ANN BECKLEY
Hearing Instrument Specialist
201 BASS PRO BLVD
DENHAM SPRINGS, LA 70726
Livingston Parish (225) 665-2807
SAMS EAST INC
Pharmacy (Community/Retail Pharmacy)
201 BASS PRO BLVD
DENHAM SPRINGS, LA 70726
Livingston Parish (225) 665-8153
SAMS EAST INC
Eyewear Supplier
201 BASS PRO BLVD
DENHAM SPRINGS, LA 70726
Livingston Parish (225) 665-2887
LYNETTE GOYER
Pharmacist
201 BASS PRO BLVD
DENHAM SPRINGS, LA 70726
Livingston Parish (225) 665-8153

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 Kelly Optometry, A Professional Corporation's NPI number?

The NPI number for Kelly Optometry, A Professional Corporation is 1104748169. It was assigned to this organization in the NPPES registry on July 29, 2026.

Where is Kelly Optometry, A Professional Corporation located?

Kelly Optometry, A Professional Corporation is located at 201 Bass Pro Blvd, Denham Springs, LA 70726. The listed phone number is (225) 665-2887.

What is Kelly Optometry, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Optometry, A Professional Corporation was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.