Kelley'S Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

KELLEY'S OPTICAL

Practice address

11821 S Memorial Pkwy
Huntsville, AL 35803-3333

Phone

(256) 318-8306

NPI assigned

Jul 24, 2019

Organization subpart

No

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

Authorized official

Name

Kelley Cornelius, DONPI 1992265243

Title

Owner

Phone

(256) 318-8306

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kelley Cornelius, DO

  • Optician
  • Huntsville, AL
  • NPI 1992265243
  NPD (past) Authorized official

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1649823014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 SMOKE RISE RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023915",
            "telephone_number": "256-318-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 S MEMORIAL PKWY",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358033333",
            "telephone_number": "256-318-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY'S OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-318-8306",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith C. Anderson, D.O.
• Keithley Family Medical Inc
• Judy J Keller, LCSW, PIP
• Jaron Kelley, DPT
• Whitley Vera Kelley, MS, CGC
• Lauren Ashley Kellum
• Kelly Psychiatric Services, LLC
• Kelly S Fisher LLC
• Carmalita Kelly, CRNP
• Frank J. Kelly II, MD

• All providers in Huntsville, AL
• Optician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.