Kelly C. Kao, O.D., a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

13772 Issued in CA

Legal business name

KELLY C. KAO, O.D., A PROFESSIONAL CORPORATION

Doing business as

STL Optometry

Practice address

1580 W El Camino Real Ste 6
Mountain View, CA 94040-2462

Phone

(650) 695-5917

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Kelly Kao, OD

Title

President

Phone

(408) 396-7179

Specialties & licenses 4

Addresses

Other names 1

• STL Optometry Doing business as

Locations

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1801335542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 W EL CAMINO REAL STE 6",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402462",
            "telephone_number": "650-695-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W EL CAMINO REAL STE 6",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402462",
            "telephone_number": "650-695-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY C. KAO, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "KAO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-396-7179",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13772",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "13772",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "13772",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "13772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STL Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zaina Kazak
• Lynn J. Kearney, M.F.T.
• Wilson Kee, PA
• Keith M. Abe DDS Inc.
• Victoria Kelley, RN
• Julie Marie Kelly, MSN, APRN, NP-C
• Nate Eugene Kelly, M.D.
• Carol Ann Kemper, MD
• Austin Kench
• Bridget Kennedy

• Optometrist in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.