KELLY KEANE OD PROFESSIONAL CORPORATION - NPI 1194240358

Q: What is Kelly Keane Od Professional Corporation's specialty?

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

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About Kelly Keane Od Professional Corporation NPPES

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

KELLY KEANE OD PROFESSIONAL CORPORATION (NPI 1194240358) is a healthcare organization registered as an optometrist in San Diego, California and active in the NPI registry since August 2017. The organization lists Kelly Keane, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1194240358

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameKELLY KEANE OD PROFESSIONAL CORPORATION

Location Address5680 BALBOA AVESan Diego, CA 92111-2706

Mailing Address4203 Genesee Ave Suite 103, #436San Diego, CA 92117-5071 · (973) 557-5521

Phone(858) 278-2837

Organization SubpartNo

Authorized OfficialKelly KeaneOptometrist · (973) 557-5521

Enumeration DateAugust 9, 2017

Last NPPES UpdateJuly 24, 20213 updates tracked since enumeration

NPPES CertifiedJuly 24, 2021

✔ NPI 1194240358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 15197

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.

5680 BALBOA AVE, San Diego, CA 92111

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 9

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

MERIAH BACON PHARMD, RPH

Pharmacist