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DR. KELLY DAVIS OD
NPI 1649337106
Optometrist in Herrin, IL

Active since January 03, 2007
500 LINCOLN DR, SUITE A, HERRIN, IL 62948(618) 351-8900(618) 351-0076 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Davis Od NPPES

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

DR. KELLY DAVIS OD (NPI 1649337106) is an individual optometrist in Herrin, Illinois and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1649337106
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELLY DAVISCredential: OD
Location Address500 LINCOLN DR, SUITE AHerrin, IL 62948-6334
Mailing Address2800 W Main StCarbondale, IL 62901-1087 · (618) 351-8900 · Fax (618) 351-0076
Phone(618) 351-8900
Fax(618) 351-0076
Sole ProprietorNo
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649337106 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.
500 LINCOLN DR, Herrin, IL 62948
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Other Names 1

Former Name (1)Dr. Kelly Mills Od

Other Identifiers 1

Medicare UPINU94449

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.

SIH WORKCARE
Preventive Medicine (Occupational Medicine)
500 LINCOLN DR
HERRIN, IL 62948
Williamson County (618) 993-3817
MICHAELIS JACKSON & ASSOCIATES, LLC
Ophthalmology
500 LINCOLN DR, SUITE A
HERRIN, IL 62948
Williamson County (618) 351-8900
LOGAN PARK IMAGING LLC
Radiology (Diagnostic Radiology)
500 LINCOLN DR, STE C
HERRIN, IL 62948
Williamson County (618) 998-9633
DR. WROPHAS MEEKS MD
Radiology (Diagnostic Radiology)
500 LINCOLN DR, STE C
HERRIN, IL 62948
Williamson County (618) 998-9633

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 Davis's NPI number?

The NPI number for Kelly Davis is 1649337106. It was assigned to this individual provider in the NPPES registry on January 3, 2007. The provider is also known as Dr. Kelly Mills Od.

Where is Kelly Davis located?

Kelly Davis practices at 500 Lincoln Dr Suite A, Herrin, IL 62948. The listed phone number is (618) 351-8900.

What is Kelly Davis'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 Davis was last updated on July 8, 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.