DR. MICHAEL RYAN KELLEY (NPI# 1558324368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558324368 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RYAN KELLEY |
| Credential | O.D. |
| Practice Address |
2936 E 79th Ave Merrillville IN 46410-5748 |
| Mailing Address |
324 S Boo Rd Apt 101 Burns Harbor IN 46304-0040 |
| Practice Telephone | 2199471052 |
| Mailing Telephone | 2195084728 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2015-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003293A | IN | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669934907 | Michael Francis Kelley Jr. | Student in an Organized Health Care Education/Training Program | 4833 Ithaca St, Metairie, LA 70006-2617 | 2019-04-04 |
| 1588164826 | Michael L Kelley | Registered Nurse | 7760 Margerum Ave Unit 224, San Diego, CA 92120-1441 | 2018-02-13 |
| 1912174731 | Michael Jason Kelley | Radiologic Technologist | 1209 Heatherview Dr, Oak Park, CA 91377-3914 | 2008-05-12 |
| 1053492397 | Michael E Kelley | Psychologist | 150 W University Blvd, Melbourne, FL 32901-6982 | 2006-10-17 |
| 1649351933 | Michael O'hara Kelley | Marriage & Family Therapist | 690 W Fremont Ave Ste 6, Sunnyvale, CA 94087-4202 | 2006-10-17 |
| 1316053770 | Michael Gaylor Kelley | Dentist | 6296 Rucker Rd, Ste A, Indianapolis, IN 46220-4852 | 2006-08-21 |
| 1790763704 | Michael Fredrick Kelley | Preventive Medicine | 3009a Highway 30 W, Huntsville, TX 77340-3517 | 2006-01-09 |
| 1306822812 | Michael Timothy Kelley | Preventive Medicine | 1166 Dublin Rd, Suite 400, Columbus, OH 43215-1030 | 2005-12-16 |
| 1376542639 | Michael R. Kelley | Psychologist | 10506 Burt Cir, Omaha, NE 68114-2094 | 2005-07-19 |
| 1265071823 | Michael Dale Kelley | Nurse Practitioner | 129 8th Ave Se, Oelwein, IA 50662-2352 | 2019-12-31 |
| Street Address |
2936 E 79TH AVE |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-5748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679956 | Lauro Chavez | Pharmacist | 2936 E 79th Ave, Merrillville, IN 46410-5748 | 2020-11-03 |
| 1366524274 | Wal-mart Stores East, Lp | Technician/Technologist | 2936 E 79th Ave, Merrillville, IN 46410-5748 | 2006-10-19 |
| 1013934223 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2936 E 79th Ave, Merrillville, IN 46410-5748 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| 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 |
|---|---|---|---|---|
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1497006316 | Eyecare Indiana II, PC | Optometrist | 1601 E 80th Ave, Merrillville, IN 46410-5737 | 2012-10-02 |
| 1548526700 | Eyecare Indiana Ll, PC | Optometrist | 1601 E. 80th Ave, Merrillville, IN 46410-5737 | 2012-04-02 |
| 1063608628 | Dr. Dennis Jahovic & Associates,p.c. | Optometrist | 2621 E 80th Ave, Merrillville, IN 46410-5761 | 2007-09-18 |
| 1235252396 | A&k Kouklakis Od. P.C. | Optometrist | 2294 W Lincoln Hwy, Merrillville, IN 46410 | 2007-04-06 |
| 1669599403 | Mark Paul Benjamin | Optometrist | 759 East 81st Avenue, Merrillville, IN 46410 | 2007-03-26 |
| 1285769133 | Timothy H. Mcgillen | Optometrist | 279 W 80th Pl, Merrillville, IN 46410-5491 | 2007-02-22 |
| 1184731812 | Dennis Jahovic | Optometrist | 2621 East U.S. 30, Merrillville, IN 46410 | 2006-08-25 |
| 1093739971 | Calvin Butler Yates | Optometrist | 141 E 61st Ave, Merrillville, IN 46410-3013 | 2006-07-26 |
| 1659341451 | John P Czaja Od PC | Optometrist | 8100 Broadway, Suite A, Merrillville, IN 46410-6215 | 2006-01-24 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on DR. MICHAEL RYAN KELLEY.
| 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.