Joseph Daniel Kelly Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3305 Issued in TN

Practice address

110 Glancy St Ste 208
Goodlettsville, TN 37072-2313

Phone

(615) 868-2877

Fax

(615) 870-5771

NPI assigned

May 31, 2016

Last updated

May 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel@kellyvision.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cool Springs Eyecare, PLLC

  • Optometrist
  • Franklin, TN
  • NPI 1104968817
  Medicare reassignment NPD
• Marie C Kelly, O.D..

  • Optometrist
  • Goodlettsville, TN
  • NPI 1770692238
  Medicare reassignment
• Marie C Kelly

  • Optometrist
  • Goodlettsville, TN
  • NPI 1891965380
  NPD

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1881042943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GLANCY ST STE 208",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722313",
            "telephone_number": "615-868-2877",
            "fax_number": "615-870-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GLANCY ST STE 208",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722313",
            "telephone_number": "615-868-2877",
            "fax_number": "615-870-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Kang, DDS
• Tod Kaplan, DC, LMT
• Kristen Grace Kaser
• Alexis Keen, PA-C
• Keenan Chiropractic Spine and Injury Center LLC
• Marie C Kelly, O.D..
• Tiffany Kelly, BCBA, LBA
• Daniel Kennedy
• Michael L Key, DC
• KGC Operator, Inc. (Brookdale Goodlettsville)

• Optometrist in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.