Active NPI
The Kelly Eye Center PA
- Ophthalmology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- THE KELLY EYE CENTER PA
- Practice address
- 8851 Ellstree LN
Suite 200
Raleigh, NC 27617-2045 - Phone
- (919) 282-1100
- Fax
- (919) 282-1119
- NPI assigned
- Jul 4, 2006
- Last updated
- Mar 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Walker Kelly, MD
- Title
- Medical Director
- Phone
- (919) 282-1100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
8851 Ellstree LN
Suite 200
Raleigh, NC 27617-2045
Mailing address
8851 Ellstree LN
Suite 200
Raleigh, NC 27617-2045
Phone (919) 282-1100
National Provider Directory
National Provider DirectoryLocations
918 7th Ave
Garner, NC 27529
Phone (919) 282-1100
11009 Ingleside Pl
Ste 104
Raleigh, NC 27614
Phone (919) 252-1100
8851 Ellstree Ln
Ste 200
Raleigh, NC 27617
Phone (919) 282-1100
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Raleigh, NC
- NPI 1013956150
-
- Ophthalmology Physician
- Cary, NC
- NPI 1487608469
-
- Optometrist
- Raleigh, NC
- NPI 1215994348
-
- Ophthalmology Physician
- Katy, TX
- NPI 1154412070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677628800000",
"number": "1366472177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8851 ELLSTREE LN",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276172045",
"telephone_number": "919-282-1100",
"fax_number": "919-282-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8851 ELLSTREE LN",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276172045",
"telephone_number": "919-282-1100",
"fax_number": "919-282-1119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE KELLY EYE CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "WALKER",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "919-282-1100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.