Active NPI
Matthew Kyran Kelly
- Optician
- Clifton Park, NY
National Provider Identifier
1740117050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 008311
- Practice address
- 10 Reed LN
Clifton Park, NY 12065-1829 - Phone
- (518) 878-3846
- NPI assigned
- May 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 008311 | NY | Primary |
Addresses
Primary practice location
10 Reed LN
Clifton Park, NY 12065-1829
Mailing address
10 Reed LN
Clifton Park, NY 12065-1829
Phone (518) 878-3846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1740117050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 REED LN",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120651829",
"telephone_number": "518-878-3846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 REED LN",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120651829",
"telephone_number": "518-878-3846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "MATTHEW",
"middle_name": "KYRAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-08",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "008311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.