Kelly D. Desimone, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

0862 Issued in AZ

Practice address

15725 South 46TH St
Suite 112
Phoenix, AZ 85048

Phone

(480) 893-2300

Fax

(480) 893-0522

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1164572970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14417 S 24TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850489015",
            "telephone_number": "480-759-0314",
            "fax_number": "480-759-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 SOUTH 46TH ST",
            "address_2": "SUITE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85048",
            "telephone_number": "480-893-2300",
            "fax_number": "480-893-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIMONE",
        "first_name": "KELLY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "0862",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "AZ",
            "license": "0862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Wounds, PLLC
• Brianna Alyse Desharnais
• Marissa Manalo Desiderio, BSN R.N.
• Anita L Desilva, CRNA
• Devon Carmella Desimone, N.D.
• Sara Desimone
• Geraldine Desir
• Betsy Lynn Desjarlais, FNP
• Madison P Deslaurier, BA, RBT
• Lindsay Desmarais, OTD,OTR-L

• Vision Therapy Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Vision Therapy Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.