MICHAEL GERARD KELLY (NPI# 1154353134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154353134 |
| Entity Type | Individual |
| Full Name | MICHAEL GERARD KELLY |
| Credential | O.D. |
| Practice Address |
1578 Highway 44 E Ste 7 Shepherdsville KY 40165-7172 |
| Practice Telephone | 5025430646 |
| Practice Fax Number | 5025430648 |
| Mailing Telephone | 5025430646 |
| Mailing Fax Number | 5028976599 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1173 DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 77011732 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389874 | Michael Kelly | Physical Therapist | 1025 Service Pl Ste 200, Vista, CA 92084-7271 | 2020-09-03 |
| 1871949115 | Michael John Kelly | Speech-Language Pathologist | 3484 Fair Oaks Ave, Bowling Green, KY 42104-5529 | 2016-05-05 |
| 1003206004 | Michael Sean Kelly | Nurse Practitioner | 17601 17th St Ste 120, Tustin, CA 92780-1946 | 2015-01-28 |
| 1295135515 | Michael Kelly | Technician, Other | 2215 E 36 1/2 St, Minneapolis, MN 55407-3018 | 2014-08-25 |
| 1225310675 | Michael Thomas Kelly | Pathology | 4156 H Street Rd, Blaine, WA 98230-9228 | 2011-09-12 |
| 1205085073 | Michael H Kelly | Massage Therapist | 76 Bosse Ln, West Seneca, NY 14224-1624 | 2008-09-16 |
| 1275780041 | Michael Foster Kelly | Acupuncturist | 8 Wells Ave, Yonkers, NY 10701-2710 | 2008-08-25 |
| 1346458031 | Michael Francis Kelly | Registered Nurse | 79 Trausneck Pl, Yonkers, NY 10703-1907 | 2007-05-18 |
| 1104045707 | Michael Walter Kelly | Pharmacist | College of Pharmacy, 110 Pharmacy Building, Iowa City, IA 52242-1112 | 2007-04-24 |
| 1710105358 | Michael Kelly | Physical Therapist | 1600 E. Jefferson St., Seattle, WA 98122 | 2007-04-20 |
| Street Address |
1578 HIGHWAY 44 E STE 7 |
| City | SHEPHERDSVILLE |
| State | KY |
| Zip Code | 40165-7172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972568376 | Bullitt County Family Care Center, P.l.l.c. | Legal Medicine | 1578 Highway 44 E, Suite 2, Shepherdsville, KY 40165-7172 | 2006-04-19 |
| 1629464854 | B&b Pharmacy, Pllc | Pharmacy | 1578 Highway 44 E, Unit 1, Shepherdsville, KY 40165-7172 | 2015-04-14 |
| 1770787095 | Cardiac Care Center of Louisville, Pllc | Internal Medicine | 1578 Highway 44 E, Suite 2, Shepherdsville, KY 40165-7172 | 2007-06-12 |
| 1043429962 | Medical Center Cardiologists, Psc | Internal Medicine | 1578 Highway 44 E, Suite 2, Shepherdsville, KY 40165-7172 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
| 1538701537 | Melody Lynn Royer | Technician | 164 Beagle Run, Shepherdsville, KY 40165 | 2019-10-10 |
| 1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
| 1669866729 | Ashley Krages | Occupational Therapy Assistant | 143b Turtle Bay Ct Apt 5, Shepherdsville, KY 40165 | 2015-03-26 |
| 1548679020 | Debra F Schoenberg | Social Worker | 1305 S. Joe B Hall, Shepherdsviile, KY 40165 | 2014-08-08 |
| 1821438359 | Jon-michael Leblanc | Counselor | 130 S. Joe B. Hall Ave., Shepherdsville, KY 40165 | 2013-06-28 |
| 1750633178 | Lee Alan Roussel | Marriage & Family Therapist | 130 Joe B Hall, Shepherdsville, KY 40165 | 2012-10-09 |
| 1679822977 | Andrew T. Webb | Social Worker | 130 South Joe B. Hall Ave., Shepherdsville, KY 40165 | 2012-08-31 |
| 1306173737 | Enrica T Thomas | Social Worker | 815 John Harper Rd Unit 14, Shepherdsville, KY 40165 | 2009-11-05 |
| 1740452184 | Brian Woodring | Marriage & Family Therapist | 130 Vine St., Shepherdsville, KY 40165 | 2008-03-26 |
| Find all providers in zip 40165 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629416748 | Dani Joelle Gogel | Optometrist | 544 Conestoga Pkwy, Suite 17, Shepherdsville, KY 40165-5674 | 2013-06-11 |
| 1821378969 | Tina L Kreutzer | Optometrist | 1707 Cedar Grove Rd Ste 3, Shepherdsville, KY 40165-8572 | 2011-08-21 |
| 1558558361 | Central Kentucky Optometric Associates Psc | Optometrist | 1578 Highway 44 E Unit 7, Shepherdsville, KY 40165-7172 | 2007-09-26 |
| 1366489189 | Clarkson Optometry Midwest Inc. | Optometrist | 544 Conestoga Parkway, Suite 17, Shepherdsville, KY 40165-6081 | 2006-06-01 |
| 1700138021 | Healthy Eyes, Inc. | Optometrist | 1707 Cedar Grove Rd Ste 3, Shepherdsville, KY 40165-8572 | 2012-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443163 | Eyemax2020 | Optometrist | 3070 Harrodsburg Rd Ste 130, Lexington, KY 40503-2764 | 2020-10-05 |
| 1639780224 | Family First Vision Care Kentucky | Optometrist | 3801 Mall Rd Ste 115, Lexington, KY 40503-4492 | 2020-08-17 |
| 1548871130 | Family First Vision Care Kentucky | Optometrist | 4318 Alexandria Pike, Cold Spring, KY 41076-2040 | 2020-08-17 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1164032512 | Bright Eyes Clinic, LLC | Optometrist | 2290 W Jeff Davis Hwy, Elkton, KY 42220-8708 | 2020-07-31 |
| 1568080828 | Maivys Hernandez Longa | Optometrist | 715 Shaker Dr Ste 120, Lexington, KY 40504-3674 | 2020-07-13 |
| 1154949147 | Garrett Scott Kee | Optometrist | 166 S Carol Malone Blvd Ste A, Grayson, KY 41143-1352 | 2020-07-07 |
| 1275150310 | Liza Stremick | Optometrist | 3701 Hopewell Rd Ste 900, Louisville, KY 40299-5395 | 2020-07-05 |
| 1063039451 | Haleigh Stringer | Optometrist | 2905 New Hartford Rd, Owensboro, KY 42303-1323 | 2020-07-01 |
| 1063045284 | National Vision Inc | Optometrist | 10337 Dixie Hwy, Louisville, KY 40272-3951 | 2020-02-17 |
| Find all providers with the same taxonomy | ||||
| City | SHEPHERDSVILLE |
| Zip Code | 40165 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.