DR. CAROL LEE KELLEY (NPI# 1558353938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558353938 |
| Entity Type | Individual |
| Full Name | DR. CAROL LEE KELLEY |
| Credential | OD |
| Practice Address |
12265 Oracle Blvd Suite 120 Colorado Springs CO 80921-3764 |
| Practice Telephone | 7194871511 |
| Practice Fax Number | 7194879480 |
| Mailing Telephone | 7194871511 |
| Mailing Fax Number | 7194879480 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/25/2006 |
| NPI Reactivation Date | 2006-04-04 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1632 | CO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | LICENSE | 1632 | 01 |
| CO | DEA | MK0816427 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760559090 | Carol Lynn Kelley | Marriage & Family Therapist | 258 Sw 43rd St, A, Renton, WA 98055-4957 | 2006-11-30 |
| 1821568676 | Carol Kelley | Social Worker | 21 Patten St, Sonoma, CA 95476-6726 | 2018-12-04 |
| 1578965695 | Carol Kelley | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2014-09-19 |
| 1093838450 | Carol Jean Kelley | Mechanotherapist | 1800 Westwind Dr, #500, Bakersfield, CA 93301-3055 | 2007-04-09 |
| 1992886303 | Carol Genet Kelley | Nurse Practitioner | 11100 Euclid Ave, Wrn 5057, Cleveland, OH 44106-1716 | 2006-10-18 |
| Street Address |
12265 ORACLE BLVD SUITE 120 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80921-3764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215191572 | Northgate Vision Center | Optometrist | 12265 Oracle Blvd, Suite 120, Colorado Springs, CO 80921-3764 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279699 | Play 4 Healing Pllc | Counselor | 13550 Northgate Estates Drive, Colorado Springs, CO 80921 | 2020-09-15 |
| 1740894039 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - Md, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1003420324 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - App, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1417519893 | Michelle Wright | Counselor | 11681 Voyager Parkway, Suite 150, Colorado Springs, CO 80921 | 2019-07-05 |
| 1780241083 | Lindsay Afton Barker | Counselor | Whole Kids Co., 11681 Voyager Pkwy, Ste 150, Colorado Springs, CO 80921 | 2019-05-22 |
| 1063076321 | Octavia Cormier | Counselor | 11681 Voyager Pkwy, Unit 150, Colorado Springs, CO 80921 | 2019-04-23 |
| 1225538630 | Northgate Family Chiropractic LLC | Chiropractor | 12245 Voyager Pkwy Ste 124, Colorado Springs, CO 80921 | 2018-02-13 |
| 1942712351 | Candace Grace Kaminski | Massage Therapist | 59 Avocet Loop, Colorado Springs, CO 80921 | 2017-10-26 |
| 1801319108 | Rebecca Freed | Physical Therapist | 13570 Northgate Estates Dr. Ste 100, Colorado Springs, CO 80921 | 2017-07-19 |
| 1174076582 | Jan L Wilkenson | Counselor | Heart Matters Counseling Center, 13550 Northgate Estates Drive, #200, Colorado Springs, CO 80921 | 2016-08-02 |
| Find all providers in zip 80921 | ||||
| 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 |
|---|---|---|---|---|
| 1780283564 | Eye Love Care Inc | Optometrist | 1455 S Chelton Rd, Colorado Springs, CO 80910-1663 | 2020-10-22 |
| 1538708052 | Bauer Eyecare Pllc | Optometrist | 3625 Star Ranch Rd, Colorado Springs, CO 80906-5980 | 2020-01-01 |
| 1104460682 | Optimism Eye Care Co Pllc | Optometrist | 4130 Austin Bluffs Pkwy, Colorado Springs, CO 80918-2928 | 2019-10-29 |
| 1881256147 | Eye Love Care Inc | Optometrist | 4465 Northpark Dr Ste 208, Colorado Springs, CO 80907-4238 | 2019-07-07 |
| 1063073245 | Jade Mclachlin | Optometrist | 3532 Van Teylingen Dr Apt C, Colorado Springs, CO 80917-4822 | 2019-06-27 |
| 1588225130 | Katherine Austin Barton | Optometrist | 1803 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-4027 | 2019-06-25 |
| 1447818869 | Allison Anne Ruehlen | Optometrist | 4195 Centennial Blvd, Colorado Springs, CO 80907-3767 | 2019-05-31 |
| 1386116168 | Infocus Eye Care, Pllc | Optometrist | 1234 E Woodmen Rd Unit 120, Colorado Springs, CO 80920-8248 | 2018-12-18 |
| 1720574544 | Devin Jackson | Optometrist | 3958 N Academy Blvd Ste 108, Colorado Springs, CO 80917-5911 | 2018-07-04 |
| 1508383126 | Abba Dry Eye & Allergy Clinic, P.C. | Optometrist | 4465 Northpark Dr Ste 206, Colorado Springs, CO 80907-4238 | 2017-08-24 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80921 |
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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.