KELLY ANDREW INDOVINA (NPI# 1225386923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225386923 |
| Entity Type | Individual |
| Full Name | KELLY ANDREW INDOVINA |
| Credential | OD |
| Practice Address |
300 E Osborn Rd Suite 100 Phoenix AZ 85012-2325 |
| Practice Telephone | 6022000770 |
| Practice Fax Number | 6022940363 |
| Mailing Telephone | 6022000770 |
| Mailing Fax Number | 6022940363 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | D07763358 | AZ | Eye and Vision Services Providers |
| Street Address |
300 E OSBORN RD SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265426951 | Leslie A Kanda | Ophthalmology | 300 E Osborn Rd, #203, Phoenix, AZ 85012-2347 | 2005-09-08 |
| 1477924231 | Buena Vista Optical | Eyewear Supplier (Equipment, not the service) | 300 E Osborn Rd, Suite 100, Phoenix, AZ 85012-2325 | 2015-10-19 |
| 1548567522 | Medical &surgical Eye Specialists Ltd | Ophthalmology | 300 E Osborn Rd, 203, Phoenix, AZ 85012-2325 | 2011-02-28 |
| 1316278161 | Associated Ophthalmologist | Ophthalmology | 300 E Osborn Rd, #100, Phoenix, AZ 85012 | 2010-01-19 |
| 1790969210 | Robert Brems Md PC | Specialist | 300 E Osborn Rd, 100, Phoenix, AZ 85012-2347 | 2007-12-19 |
| 1063535284 | Buena Vista Opthalmologists, P.C. | Ophthalmology | 300 E Osborn Rd, 203, Phoenix, AZ 85012-2347 | 2007-04-10 |
| 1881748424 | James R Meador, Jr | Specialist | 300 E Osborn Rd, Suite 203, Phoenix, AZ 85012-2347 | 2007-01-22 |
| 1821156977 | Dana Bates | Optometrist | 300 E Osborn Rd, #100, Phoenix, AZ 85012 | 2006-12-04 |
| 1205926623 | Robert Nettleship Brems | Ophthalmology | 300 E Osborn Rd, 100, Phoenix, AZ 85012 | 2006-10-14 |
| 1760454557 | Phoenix Ophthalmology Asc LLC | Clinic/Center | 300 E Osborn Rd, Suite 102, Phoenix, AZ 85012-2347 | 2006-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| 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 |
|---|---|---|---|---|
| 1689283830 | Kelsie Stevens | Optometrist | 6815 N 19th Ave Ste 130, Phoenix, AZ 85015-1135 | 2020-07-23 |
| 1134747801 | National Vision Inc | Optometrist | 1838 W Bell Rd, Phoenix, AZ 85023-3480 | 2020-07-09 |
| 1770109282 | Nathan Jones | Optometrist | 6135 N 35th Ave Ste 139, Phoenix, AZ 85017-1953 | 2020-06-20 |
| 1447874755 | Jenna Derubeis | Optometrist | 16515 S 40th St Ste 111, Phoenix, AZ 85048-0559 | 2020-06-02 |
| 1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
| 1659927663 | National Vision Inc | Optometrist | 2805 W Agua Fria Fwy Ste 1, Phoenix, AZ 85027-3940 | 2019-08-15 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1932680618 | Carefree Eyecare | Optometrist | 3170 W Carefree Hwy Ste C3c4, Phoenix, AZ 85086-3205 | 2018-08-22 |
| 1710464417 | Ngoc Le | Optometrist | 1650 E Camelback Rd Ste 160, Phoenix, AZ 85016-3947 | 2018-07-25 |
| 1255826681 | Eric Bradford Vanausdal | Optometrist | 15215 S 48th St Ste 180, Phoenix, AZ 85044-9140 | 2018-06-27 |
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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.