DR. COREY BREEN KELLY (NPI# 1720166945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720166945 |
| Entity Type | Individual |
| Full Name | DR. COREY BREEN KELLY |
| Credential | O.D. |
| Practice Address |
555 John F Kennedy Rd Suite 665 Dubuque IA 52002-5202 |
| Practice Telephone | 5635825198 |
| Practice Fax Number | 5635825540 |
| Mailing Telephone | 5635825198 |
| Mailing Fax Number | 5635825540 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2223 | IA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | EYEMED PROVIDER NUMBER | IA2223 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487089694 | Corey R Kelly | Social Worker | 450 Washington St, Dedham, MA 02026-4455 | 2013-09-06 |
| Street Address |
555 JOHN F KENNEDY RD SUITE 665 |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52002-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386826097 | Corey B. Kelly O.d.p.c. | Optometrist | 555 John F Kennedy Rd, Suite 665, Dubuque, IA 52002-5202 | 2007-12-04 |
| 1619190923 | Courtney Daelle Smith | Optometrist | 555 John F Kennedy Rd, Dubuque, IA 52002-5202 | 2007-04-11 |
| 1487710620 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 555 John F Kennedy Rd, Kennedy Mall Ste #400, Dubuque, IA 52002-5202 | 2006-12-30 |
| 1740365188 | Ralph Richard Honson | Optometrist | 555 John F Kennedy Rd, Suite 665, Dubuque, IA 52002-5207 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725193 | Rebecca Marie Fitzpatrick | Pharmacist | 7425 Chavenelle Rd Ste 300, Dubuque, IA 52002 | 2018-03-29 |
| 1598020943 | Steven Matthew Leifker | Dentist | 1645 John F. Kennedy Rd, Dubuque, IA 52002 | 2012-07-11 |
| 1922364280 | Susan A Neuser | Pharmacist | 74 25 Chavenelle Rd, Dubuque, IA 52002 | 2012-04-11 |
| 1720308240 | Yakov S Zagalskiy | Family Medicine | 1500 Associates Drive, Dubuque, IA 52002 | 2010-06-07 |
| 1689904690 | Meryl Rae Welsh | Counselor | 2255 Jkf Road, Dubuque, IA 52002 | 2010-01-14 |
| 1982864047 | Joel Gregory Thielen | Acupuncturist | 1880 Radford Road, Dubuque, IA 52002 | 2008-06-12 |
| 1609052323 | Jason E Meyer Physical Therapy PC | Clinic/Center | 2300 John F Kennedy Rd, Dubuque, IA 52002 | 2008-01-11 |
| 1508053828 | Assisted Living Concepts Inc | Assisted Living Facility | 2700 Matthew John Drive, Dubuque, IA 52002 | 2007-10-01 |
| 1588863252 | Miracle Ear | Audiologist-Hearing Aid Fitter | 555 Jf Kennedy Road, Dubuque, IA 52002 | 2007-07-13 |
| 1639383599 | Michelle Ann Gardner | Optometrist | 808 Wacker Dr, Dubuque, IA 52002 | 2007-05-10 |
| Find all providers in zip 52002 | ||||
| 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 |
|---|---|---|---|---|
| 1659910453 | Luke R Ploessl | Optometrist | 2140 Jfk Rd Ste F, Dubuque, IA 52002-3883 | 2019-12-27 |
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1659752368 | Matthew Porn | Optometrist | 2515 Nw Arterial, Dubuque, IA 52002-0400 | 2015-06-18 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1639383599 | Michelle Ann Gardner | Optometrist | 808 Wacker Dr, Dubuque, IA 52002 | 2007-05-10 |
| 1376661777 | Dubuque Optometric, P.C. | Optometrist | 3343 Center Grove Dr, Dubuque, IA 52003-5264 | 2007-03-26 |
| 1609945377 | Kent George Hillery | Optometrist | 3343 Center Grove Drive, Clock Tower West, Dubuque, IA 52003-5264 | 2006-11-07 |
| 1437228103 | Lynn Marie Howland | Optometrist | 3343 Center Grove Dr Ste D, Clock Tower West, Dubuque, IA 52003-5264 | 2006-11-07 |
| 1861457657 | Steven John Maxwell | Optometrist | 1950 Jfk Rd, Dubuque, IA 52002-3897 | 2006-04-18 |
| 1487616736 | Gregory David Hansen | Optometrist | 4200 Dodge St, Dubuque, IA 52003-2624 | 2006-04-03 |
| Find all providers in DUBUQUE | ||||
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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.