Kelly Ophthalmology PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9737 Issued in NV

Legal business name

KELLY OPHTHALMOLOGY PC

Doing business as

Silver State Eye Care

Practice address

6080 South Fort Apache
Suite a
Las Vegas, NV 89148

Phone

(702) 309-2015

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Francis Kelly, M.D.NPI 1467451526

Title

President

Phone

(702) 309-2015

Specialties & licenses 1

Addresses

Other names 1

• Silver State Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Las Vegas Ophthalmology ASC LLC

  dba American Surgery Centers of Las Vegas

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1003889395

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Francis Kelly, M.D.

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1467451526
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881702561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 TARAGATO AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526597",
            "telephone_number": "702-896-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 SOUTH FORT APACHE",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-309-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY OPHTHALMOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-309-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "9737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver State Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackenzie Kellogg
• Raymond Vincent Kellogg, O.D.
• Ashley Kellough
• Kelly Jin, D.M.D., Inc. (Icon Dental)
• Kelly Murie PLLC (MaxHealth Center)
• Jeannettea Kelly-Webster
• Amantha(Mandy) Frances Kelly, LMT
• Amber Renee Kelly
• Angel Dayna Kelly
• Angelia Kelly

• Ophthalmology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ophthalmology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.