Thomas Roland Kelley (NPI# 1528100419, PAC ID# 7113056706) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1528100419 |
| PAC ID by PECOS | 7113056706 |
| Professional Enrollment ID | I20100519000748 |
| Full Name | Thomas Roland Kelley |
| Address |
5800 Peach St Erie PA 16565-1601 |
| Phone Number | 8148642020 |
| Gender | M |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1985 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5800 Peach St, Erie, PA 16565-1601 | 8148642020 |
| Street Address |
5800 PEACH ST |
| City | ERIE |
| State | PA |
| Zip | 16565-1601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason W Hull | Optometry | Vision Associates of Western Pa | 200 Millcreek Plaza, Erie, PA 16565 |
| Kylie Ann Auman | Optometry | Visionworks Inc | 560 Millcreek Mall, Erie, PA 16565-0502 |
| City | ERIE |
| Zip Code | 16565 |
| Specialty | OPTOMETRY |
| City + Specialty | ERIE + OPTOMETRY |
Please comment or provide details below to improve the information on Thomas Roland Kelley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.