Kelly M Riley Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

6923TG Issued in TX

Legal business name

KELLY M RILEY INC

Practice address

801 E Tahoka Rd
Brownfield, TX 79316-3635

Phone

(806) 637-3937

Fax

(806) 637-3950

NPI assigned

Aug 18, 2010

Organization subpart

No

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

Authorized official

Name

Kelly Monique Riley, ODNPI 1548280365

Title

President

Phone

(806) 637-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Kelly Monique Riley, O.D.

  • Optometrist
  • Brownfield, TX
  • NPI 1548280365
  Medicare reassignment Care Compare group NPD Authorized official
• Taeana Fisher

  • Optometrist
  • Brownfield, TX
  • NPI 1477449403
  Medicare reassignment Care Compare group NPD
• Nolan C. Riley, O.D.

  • Optometrist
  • Lubbock, TX
  • NPI 1366459687
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1659686335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E TAHOKA RD",
            "city": "BROWNFIELD",
            "state": "TX",
            "postal_code": "793163635",
            "telephone_number": "806-637-3937",
            "fax_number": "806-637-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E TAHOKA RD",
            "city": "BROWNFIELD",
            "state": "TX",
            "postal_code": "793163635",
            "telephone_number": "806-637-3937",
            "fax_number": "806-637-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY M RILEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-637-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6923TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2163347-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Gabriel Hisel, MD
• Home Oxygen & Equipment Co
• Helen Hoover, FNP
• Michael Shane Hord, M.D.
• Jenifer R Kowalik, MD, PA
• Abdullah Kheir, DMD
• Kourtney Kildow, SLPA
• Kiley K. Timmons, D.C., P.a.
• Kindmotion Transport LLC
• Loop Isd

• Optometrist in Brownfield, TX
• Providers in Brownfield, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.