KELLEY'S OPTICAL (NPI# 1649823014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649823014 |
Entity Type | Organization |
Organization Name | KELLEY'S OPTICAL |
Practice Address |
11821 S Memorial Pkwy Huntsville AL 35803-3333 |
Mailing Address |
7811 Smoke Rise Rd Se Huntsville AL 35802-3915 |
Practice Telephone | 2563188306 |
Mailing Telephone | 2563188306 |
Enumeration Date | 2019-07-24 |
Last Update Date | 2019-07-24 |
Authorized Official Name | KELLEY CORNELIUS (OWNER) |
Authorized Official Telephone | 2563188306 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
Street Address |
11821 S MEMORIAL PKWY |
City | HUNTSVILLE |
State | AL |
Zip Code | 35803-3333 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205358132 | Madison Elizabeth Malone | Student in an Organized Health Care Education/Training Program | 11019 Everest Circle, Huntsville, AL 35803 | 2017-07-12 |
1023493509 | Christopher M O'barr | Nurse Practitioner | 2604 Quail Ridge Lane Sw, Huntsville, AL 35803 | 2015-07-24 |
1063655959 | Richard Rollin Thornton | Obstetrics & Gynecology | 713 Halstead Court, Huntsville, AL 35803 | 2009-04-08 |
1538280334 | Debra Lynn Means | Nurse Practitioner | Walmart 11610 South Memorial Parkway, Huntsville, AL 35803 | 2007-04-02 |
1104894963 | Mary Elizabeth Barry | Nurse Practitioner | 10300 Bailey Cove Rd Se Ste 13, Huntsville, AL 35803 | 2006-03-09 |
1023094042 | Hospice Family Care | Hospice Care, Community Based | 10000 Serenity Lane Se, Huntsville, AL 35803 | 2005-12-21 |
1134120553 | Robert L Hash II | Neurological Surgery | 10000 Serenity Lane S.e., Huntsville, AL 35803 | 2005-08-09 |
1427571157 | Hh Health System - Caring for Life | Hospice Care, Community Based | 10000 Serenity Lane Se, Huntsville, AL 35803 | 2017-07-25 |
1912428384 | Coker Eye Care, LLC | Optometrist | 2235 National Blvd Sw, Huntsville, AL 35803 | 2017-07-06 |
1316392533 | Lydia Foster Doubet Shull | Nurse Practitioner | 1425 Weatherly Rd Se, Huntsville, AL 35803 | 2016-04-25 |
Find all providers in zip 35803 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992265243 | Kelley Cornelius | Technician/Technologist | 7811 Smoke Rise Rd Se, Huntsville, AL 35802-3915 | 2019-03-22 |
1609042670 | William T Neill | Technician/Technologist | 3007 Memorial Pkwy Sw Ste A, Huntsville, AL 35801-5394 | 2008-04-30 |
1174607717 | Wal-mart Stores East, Lp | Technician/Technologist | 6140a University Dr., Huntsville, AL 35806 | 2006-10-24 |
1134574742 | Wal-mart Stores East, Lp | Technician/Technologist | 2165 Winchester Rd Ne, Huntsville, AL 35811-9198 | 2016-05-02 |
1225446206 | Wal-mart Stores East, Lp | Technician/Technologist | 3031 Memorial Pkwy Sw, Huntsville, AL 35801-5304 | 2014-07-23 |
1992919963 | Sherilyn Kay Hay | Technician/Technologist | 310 Clinton Ave W, Huntsville, AL 35801-5527 | 2007-05-09 |
1134264567 | Pearle Vision | Technician/Technologist | 3007 Memorial Pkwy Sw, Huntsville, AL 35801-5393 | 2007-02-21 |
1174609374 | Wal-mart Stores East, Lp | Technician/Technologist | 11610 Memorial Pkwy Sw, Huntsville, AL 35803-2152 | 2006-10-31 |
1972693216 | Sam's Club Optical | Technician/Technologist | 2235 National Blvd Sw, Huntsville, AL 35803-2197 | 2006-10-16 |
1245329192 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Sparkman Dr Nw, Huntsville, AL 35810-3820 | 2006-10-11 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 35803 |
Please comment or provide details below to improve the information on KELLEY'S OPTICAL.
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.