The Kelly Eye Center PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

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

Organization subpart

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Stanley Rusinek, MD

  • Ophthalmology Physician
  • Cary, NC
  • NPI 1487608469
  NPD (past)
• Balpreet Sohi

  • Optometrist
  • Raleigh, NC
  • NPI 1215994348
  NPD (past)
• Donna Marie Talluto, M.D.

  • Ophthalmology Physician
  • Katy, TX
  • NPI 1154412070
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013HC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Ophthalmology Physician in North Carolina

• 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.

Verify at the official NPI Registry.