Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY D. DESIMONE, O.D.
Active Sole ProprietorDR. KELLY D. DESIMONE, O.D. is a Vision Therapy Optometrist healthcare provider located in PHOENIX, Arizona. NPI 1164572970 is currently active in the NPPES registry. Verify at CMS.
Vision Therapy Optometrist · PHOENIX, AZ
Registration Details
- NPI Number
- 1164572970
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2007 (19.608469298613 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
0862 (AZ)0862 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15725 SOUTH 46TH STSUITE 112PHOENIX, AZ, 85048Browse AZ providers · Browse ZIP 85048
- Phone
- 4808932300
- Fax
- 4808930522
- Primary Specialty
-
Vision Therapy Optometrist
152WV0400X
- Additional Specialty
- Vision Therapy Optometrist
Other Vision Therapy Optometrist Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. ALETA BELINDA GONG | O.D. | 1003887944 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.