1. Home
  2. Directory
  3. Alaska
  4. Soldotna
  5. Technician Technologist
  6. NPI Profile

BRANDON JOHN KELLUM DISPENSING OPTICIAN
NPI 1689411340
Technician/Technologist - Optician in Soldotna, AK

Active since July 10, 2024
230 E MARYDALE AVE, SOLDOTNA, AK 99669(907) 262-3119(907) 262-9290 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandon John Kellum Dispensing Optician NPPES

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

BRANDON JOHN KELLUM DISPENSING OPTICIAN (NPI 1689411340) is an individual optician in Soldotna, Alaska, licensed in Alaska (202907) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1689411340
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameBRANDON JOHN KELLUMCredential: DISPENSING OPTICIAN
Location Address230 E MARYDALE AVESoldotna, AK 99669-7648
Mailing Address1806 Miranda CtKenai, AK 99611-6658 · (907) 320-0663
Phone(907) 262-3119
Fax(907) 262-9290
Sole ProprietorNo
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1689411340 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 AK · 202907
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.
230 E MARYDALE AVE, Soldotna, AK 99669
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MS. AMANDA CHRISTINE GARRICK L.C.S.W.
Social Worker (Clinical)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
LINDSAY HAYGOOD LCSW
Social Worker (Clinical)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
AMY DAWN-DAY LPC
Counselor (Mental Health)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
BARBARA RANSOM A.N.P.
Nurse Practitioner (Psychiatric/Mental Health)
230 E MARYDALE AVE, SUITE 2
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 260-3691
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.
Community/Behavioral Health
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
DR. PAMELA ANN HAYS PH.D.
Psychologist (Clinical)
230 E MARYDALE AVE, SUITE 2
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 260-3691
ZACHARY MICHAEL HUOT DPT
Physical Therapist
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
KRISTINA GOOLSBY LPC
Counselor (Professional)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 260-3691

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 Brandon Kellum's NPI number?

The NPI number for Brandon Kellum is 1689411340. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Brandon Kellum located?

Brandon Kellum practices at 230 E Marydale Ave, Soldotna, AK 99669. The listed phone number is (907) 262-3119.

What is Brandon Kellum'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 Brandon Kellum was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.