KELLY ANN DOTY (NPI# 1821348145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821348145 |
| Entity Type | Individual |
| Full Name | KELLY ANN DOTY |
| Credential | OD |
| Practice Address |
13532 Steelecroft Pkwy Charlotte NC 28278-7545 |
| Mailing Address |
6035 Fairview Rd Charlotte NC 28210-3256 |
| Practice Telephone | 7042953475 |
| Practice Fax Number | 7042953476 |
| Mailing Telephone | 7042953000 |
| Mailing Fax Number | 7042953468 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2274 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5921664 | 05 | |
| AETNA | 9059937 | 01 | |
| NC | BCBS | 174UK | 01 |
| SC | DN2274 | 05 | |
| NC | MEDICARE-RAILROAD | P01223898 | 01 |
| SC | SELECT HEALTH | 30139126 | 01 |
| CIGNA | 3301576 | 01 | |
| WELLPATH | 2430696 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750726501 | Kelly Beck Doty | Occupational Therapist | 1248 Austin Hwy Ste 210, San Antonio, TX 78209-4867 | 2013-05-07 |
| 1003867474 | Kelly Ann Doty | Registered Nurse | 825 Delbon Ave, Turlock, CA 95382-2016 | 2006-05-12 |
| Street Address |
13532 STEELECROFT PKWY |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28278-7545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457388316 | Steven B Heavner | Otolaryngology | 13532 Steelecroft Pkwy, Charlotte, NC 28278-7545 | 2006-06-27 |
| 1689968216 | John Bradley Allen | Ophthalmology | 13532 Steelecroft Pkwy, Charlotte, NC 28278-7545 | 2011-05-31 |
| 1457500639 | Ashley M Mohr | Physician Assistant | 13532 Steelecroft Pkwy, Charlotte, NC 28278-7545 | 2008-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
| 1245742279 | Ruby Home Healthcare, LLC | Home Health | 17202 Belmont Stakes Lane, Charlotte, NC 28278 | 2017-10-31 |
| 1962926287 | Limitless Little Learners | Community/Behavioral Health | 13909 Derby Farm Lane, Charlotte, NC 28278 | 2017-07-28 |
| 1497106694 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 4821 Berewick Town Center Dr, Charlotte, NC 28278 | 2016-06-29 |
| 1932574753 | Adrienne Forney | Counselor | 14923 Alyssa Faith Court, Charlotte, NC 28278 | 2015-12-04 |
| 1447620398 | Sherae Threatt Lattimore | Behavioral Analyst | 5614 Samuel Neel Rd, Charlotte, NC 28278 | 2015-10-05 |
| 1528340676 | Khyati Dhaval Shah | Pediatrics | 13557 Steelecroft Pkwy Ste 2200, Charlotte, NC 28278 | 2011-09-14 |
| 1184915043 | John Angelo Tenini | Internal Medicine | 13557 Steelecroft Pkwy Ste 1200, Charlotte, NC 28278 | 2011-04-27 |
| 1568612240 | Kim Marie Briden | Contractor | 13805 Appling Lane, Charlotte, NC 28278 | 2008-09-30 |
| 1144477258 | Presbyterian Imaging Centers LLC | Radiology | 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 | 2008-08-20 |
| Find all providers in zip 28278 | ||||
| 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 |
|---|---|---|---|---|
| 1962026534 | Francis Xavier Parr IIi | Optometrist | 7711 Arboretum Dr Apt 204, Charlotte, NC 28270-0016 | 2020-05-29 |
| 1992353825 | National Vision Inc | Optometrist | 14141 Steele Creek Rd Ste 400, Charlotte, NC 28273-4231 | 2019-09-04 |
| 1710535778 | Spencer Elise Moore | Optometrist | 100 N Tryon St Ste 280, Charlotte, NC 28202-4004 | 2019-09-03 |
| 1134773534 | Shannon Kirchmer | Optometrist | 4407 Mountain Cove Dr, Charlotte, NC 28216-7787 | 2019-07-25 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1679042741 | Sapounas Optometry Services, LLC | Optometrist | 4704 South Blvd Ste A, Charlotte, NC 28217-2745 | 2018-11-19 |
| 1376012534 | Jannifer Shin | Optometrist | 7615 Colony Rd Ste 105, Charlotte, NC 28226-5018 | 2018-11-17 |
| 1265927040 | Ryan Wirkus | Optometrist | 7808 S Tryon St Ste D, Charlotte, NC 28273-4299 | 2018-06-25 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| 1629522883 | Yesha Gami | Optometrist | 3506 W Tyvola Rd Fl 3, Charlotte, NC 28208-7201 | 2016-08-05 |
| Find all providers in CHARLOTTE | ||||
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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.