Vicki Kelly, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003602 Issued in MI

Practice address

23000 Eureka Rd
Taylor, MI 48180-6039

Phone

(734) 287-4300

Fax

(734) 287-2238

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SVS Vision Inc

  • Optometrist
  • Mount Clemens, MI
  • NPI 1194879023
  Medicare reassignment NPD
• SVS Vision Inc

  • Optometrist
  • Livonia, MI
  • NPI 1215062260
  NPD
• SVS Vision Inc

  • Optometrist
  • Mount Pleasant, MI
  • NPI 1558246942
  NPD
• Pearle Vision Inc

  • Optometrist
  • New Hudson, MI
  • NPI 1891840682
  NPD (past)
• Pearle Vision Inc

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1982744033
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1730229485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23000 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806039",
            "telephone_number": "734-287-4300",
            "fax_number": "734-287-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23000 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806039",
            "telephone_number": "734-287-4300",
            "fax_number": "734-287-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "VICKI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Janelle Kanagawa, LLPC
• Kevin M Karadeema, D.C.
• Johnny Kasto
• Abdalrahman Katranji, M.D.
• Amandeep Kaur, DMD
• Patrick G Kerr, P.A.C.
• Kevin M Karadeema DC PC
• Mariam Khalife, PHARMD
• Amal Ali Khalil, D.O.
• Fadel Khalil

• Optometrist in Taylor, MI
• Providers in Taylor, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.