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DR. KELLY D. DESIMONE O.D.
NPI 1164572970
Optometrist - Vision Therapy in Phoenix, AZ

Active since January 12, 2007
15725 SOUTH 46TH ST, SUITE 112, PHOENIX, AZ 85048(480) 893-2300(480) 893-0522 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly D. Desimone O.d. NPPES

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

DR. KELLY D. DESIMONE O.D. (NPI 1164572970) is an individual vision therapy provider in Phoenix, Arizona, licensed in Arizona (0862) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1164572970
Entity TypeIndividualFemale
Primary Taxonomy152WV0400X
Provider Legal NameDR. KELLY D. DESIMONECredential: O.D.
Location Address15725 SOUTH 46TH ST, SUITE 112Phoenix, AZ 85048
Mailing Address14417 S 24th PlPhoenix, AZ 85048-9015 · (480) 759-0314 · Fax (480) 759-0863
Phone(480) 893-2300
Fax(480) 893-0522
Sole ProprietorYes
Enumeration DateJanuary 12, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1164572970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License✔ Licensed in AZ · 0862
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
Also ListedOptometristTaxonomy 152W00000X · License 0862 (AZ)
15725 SOUTH 46TH ST, Phoenix, AZ 85048
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. MONICA J. SAWITZKE O.D.
Optometrist
15725 SOUTH 46TH ST, SUITE 112
PHOENIX, AZ 85048
Maricopa County (480) 893-2300

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 Desimone's NPI number?

The NPI number for Kelly Desimone is 1164572970. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Kelly Desimone located?

Kelly Desimone practices at 15725 South 46th St Suite 112, Phoenix, AZ 85048. The listed phone number is (480) 893-2300.

What is Kelly Desimone's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

What insurance does Kelly Desimone accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kelly Desimone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Desimone was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.