Kelly Eye Care, L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1343-477T Issued in LA

Legal business name

KELLY EYE CARE, L.L.C.

Practice address

7020 Youree Dr Ste a
Shreveport, LA 71105-5109

Phone

(318) 797-6155

Fax

(318) 797-6102

NPI assigned

Apr 29, 2008

Last updated

Apr 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice S. Williams

Title

Office Manager

Phone

(318) 797-6155

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, and the practitioner matching its NPPES authorized official.

• Carl A Kelly IV, O.D.

  • Optometrist
  • Shreveport, LA
  • NPI 1942290523
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1760657837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 YOUREE DR STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055109",
            "telephone_number": "318-797-6155",
            "fax_number": "318-797-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 YOUREE DR STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055109",
            "telephone_number": "318-797-6155",
            "fax_number": "318-797-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY EYE CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-797-6155"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1343-477T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamra Kelley
• Kristi Lee Kellogg, PTA
• Lisa Nicole Kellogg, CRNA
• Marsha Kellum
• Kelly Braswell DDS LLC
• Kelly Optometry, a Professional Corporation
• Brittany Elaine Kelly, PA
• Cameron Kelly, DO
• Carl A Kelly IV, O.D.
• Destiny D Kelly

• Optometrist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.