Active NPI
Kelly Kageyama, O.D.
- Vision Therapy Optometrist
- Campbell, CA
National Provider Identifier
1316376197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 14490 TLG
- Practice address
- 344 E Hamilton Ave
Campbell, CA 95008-0207 - Phone
- (408) 376-2700
- NPI assigned
- Nov 2, 2013
- Last updated
- Nov 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 14490 TLG | CA | Primary |
Addresses
Primary practice location
344 E Hamilton Ave
Campbell, CA 95008-0207
Mailing address
344 E Hamilton Ave
Campbell, CA 95008-0207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14490 TLG | CA | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383350400000",
"number": "1316376197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 E HAMILTON AVE",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950080207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 E HAMILTON AVE",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950080207",
"telephone_number": "408-376-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGEYAMA",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-02",
"last_updated": "2013-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "14490 TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.