Kelly Optometry, a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KELLY OPTOMETRY, A PROFESSIONAL CORPORATION

Practice address

2174 Martin Luther King Jr Blvd
Houma, LA 70360-2275

Phone

(985) 851-3631

NPI assigned

Jul 29, 2026

Last updated

Jul 29, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

KELLY OPTOMETRY, A PROFESSIONAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Susan L Christopher-Brand

Title

Credentialing Manager

Phone

(703) 314-8795

Specialties & licenses 1

Addresses

Tax ID family

Kelly Optometry a Professional Corporation11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

• Kelly Optometry, a Professional Corporation

  • Optometrist
  • Monroe, LA
  • NPI 1043132012
  NPD tax ID
• Kelly Optometry, a Professional Corporation

  • Optometrist
  • Denham Springs, LA
  • NPI 1104748169
  NPD tax ID
• Kelly Optometry, a Professional Corporation

  • Optometrist
  • Alexandria, LA
  • NPI 1164344123
  NPD tax ID
• Kelly Optometry, a Professional Corporation

  • Optometrist
  • Bossier City, LA
  • NPI 1255253209
  NPD tax ID
• Kelly Optometry, a Professional Corporation

  • Optometrist
  • Baton Rouge, LA
  • NPI 1467374421
  NPD tax ID
• Kelly Optometry, a Professional Corporation

  • Optometrist
  • Harvey, LA
  • NPI 1528980588
  NPD tax ID
• Kelly Optometry, a Professional Corporation

  • Optometrist
  • Kenner, LA
  • NPI 1548182512
  NPD tax ID
• Kelly Optometry, a Professional Corporation

  • Optometrist
  • Shreveport, LA
  • NPI 1619899689
  NPD tax ID
• Kelly Optometry, a Professional Corporation

  • Optometrist
  • Metairie, LA
  • NPI 1770405722
  NPD tax ID
• Kelly Optometry, a Professional Corporation

  • Optometrist
  • New Hyde Park, NY
  • NPI 1972206688
  NPD tax ID

Locations

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1831011899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VERMONT DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 MARTIN LUTHER KING JR BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602275",
            "telephone_number": "985-851-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY OPTOMETRY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KELLY OPTOMETRY, A PROFESSIONAL CORPORATION",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER-BRAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "703-314-8795"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Kee, MD
• Shannon Kelley, CRNA
• Joseph L Kellum Jr., MD
• Keith Emery Kellum, M.D.
• Kelly Liner Derouen, LPC-S, LMFT, NCC, NCSC, Supervisor LLC
• Alison Melissa Kennedy, DPT
• Terrez Kenner
• Christine Kenny
• KG Triple C Transportation LLC
• Kidney & Hypertension Center, a Professional Corporation

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

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

Verify at the official NPI Registry.