DR. MALCOLM H. KELLY JR. (NPI# 1356388060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356388060 |
| Entity Type | Individual |
| Full Name | DR. MALCOLM H. KELLY JR. |
| Credential | OD |
| Practice Address |
49 S 2nd St Oxford PA 19363-1370 |
| Practice Telephone | 6109329356 |
| Practice Fax Number | 6109323097 |
| Mailing Telephone | 6109329356 |
| Mailing Fax Number | 6109323097 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG000335 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DMERC JURISDICTION A | 5426540001 | 01 |
| PA | PA STATE LICENSE NO. | OEG000335 | 01 |
| PA | MEDICARE ID - GROUP MEDICARE NO. | 091164 | 01 |
| Street Address |
49 S 2ND ST |
| City | OXFORD |
| State | PA |
| Zip Code | 19363-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861447880 | Oxford Family Eyecare, PC | Optometrist | 49 S 2nd St, Oxford, PA 19363-1370 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841539202 | Christian Reid Turpen | Specialist/Technologist | 705 Waterway Rd., Oxford, PA 19363 | 2013-02-05 |
| 1780904680 | Patricia Ann Black | Pharmacist | 48 South 3rd Street, Oxford, PA 19363 | 2010-06-03 |
| 1922279447 | Jennifer Marie Kelleher | Physical Therapist | 206 South 3rd Street, Oxford, PA 19363 | 2008-03-13 |
| 1124209986 | Margaret Swain-gray, M.d. | Internal Medicine | 2222 Old Baltimore Pike, Oxford, PA 19363 | 2007-11-21 |
| 1982732665 | Naby M Keita | Pharmacist | 495 North 3 Rd Street, Oxford, PA 19363 | 2007-03-02 |
| 1699816991 | Kim Sue Niemoeller | Dentist | 306 Limestone Rd, Oxford, PA 19363 | 2007-02-09 |
| 1134265465 | Richard Frank Davis | Dentist | 306 Limestone Road, Oxford, PA 19363 | 2007-01-30 |
| 1780776617 | Daniel Signs | Social Worker | 151 Scroggy Road, Ox Ford, PA 19363 | 2006-09-28 |
| 1649212812 | Debra Ann Brown | Registered Nurse | 303 North Third St, Suite 2, Oxford, PA 19363 | 2006-06-12 |
| 1093755712 | Oxford Area School District | Local Education Agency (LEA) | 125 Bell Tower Ln, Oxford, PA 19363 | 2006-06-08 |
| Find all providers in zip 19363 | ||||
| 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 |
|---|---|---|---|---|
| 1659930444 | Myeyedr Optometry of Ohio, LLC | Optometrist | 5225 Morning Sun Rd Ste B, Oxford, OH 45056-8929 | 2019-06-06 |
| 1619467289 | Carey Dillard Hill | Optometrist | Oxford Exchange, 800 Oxford Exchange Boulevard, Oxford, AL 36203 | 2018-05-18 |
| 1679028369 | Alabama Family Optometry | Optometrist | 60 Commons Way, Suite E, Oxford, AL 36203-3465 | 2016-08-23 |
| 1053640540 | Agnes Forsac Esaka | Optometrist | 800 Commons Dr, Oxford, PA 19363-1247 | 2009-12-14 |
| 1548468374 | Jennifer Chase | Optometrist | 496 Sunset Blvd, Oxford, MI 48371-5186 | 2007-07-03 |
| 1538226170 | Joseph Vincent Papandrea | Optometrist | 9 Sutton Ave, Oxford, MA 01540-1738 | 2007-01-02 |
| 1801964259 | Steve M Depriest | Optometrist | 611 Van Buren Ave, Oxford, MS 38655-3839 | 2006-12-02 |
| 1023101342 | Michael G Turner | Optometrist | 1110 N Lamar Blvd, Oxford, MS 38655-2844 | 2006-09-30 |
| 1992805402 | Robert M. Currin | Optometrist | 203 E Industry Dr Ste B, Oxford, NC 27565-4001 | 2006-09-24 |
| 1063511053 | Emerson Greene Smith | Optometrist | 470 Main Street, Oxford, MA 01540 | 2006-09-22 |
| Find all providers in OXFORD | ||||
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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.