Kellee D. Meyer, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

992 Issued in CA

Legal business name

KELLEE D. MEYER, O.D., INC.

Practice address

2848 Park Ave
Suite a
Merced, CA 95348-3375

Phone

(209) 383-1408

Fax

(209) 383-3836

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Kellee D. Meyer, O.D.

Title

President

Phone

(209) 383-1408

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1861490914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 PARK AVE",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483375",
            "telephone_number": "209-383-1408",
            "fax_number": "209-383-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 PARK AVE",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483375",
            "telephone_number": "209-383-1408",
            "fax_number": "209-383-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEE D. MEYER, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "KELLEE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-383-1408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0090520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "6061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "SD0090520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwayne S Kawakami, L.C.S.W.
• Mohammed Kayali, MD
• Mary Elizabeth Kazee, MSN, PNP-PC
• Erum Kazim, MD
• Melissa Keen
• Donald W Kelley, D.C.
• Angelica Kelly
• Karuna Sith Kem, D.O
• Joash Kipkurui Kemei
• Ken Chan DDS Inc

• Optometrist in Merced, CA
• Providers in Merced, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.