Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES ROBERT KELLY
Active Sole ProprietorCHARLES ROBERT KELLY is a Optician, Dispensing healthcare provider located in NORTH BRUNSWICK, New Jersey. NPI 1376228742 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · NORTH BRUNSWICK, NJ
Registration Details
- NPI Number
- 1376228742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2023 (3.1794274763893 yrs)
- Last Updated
- Jun 21, 2023
- License
-
TD3694 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
WALMART VISION 979 ROUTE 1 SOUTHNORTH BRUNSWICK, NJ, 089021902Browse NJ providers · Browse ZIP 08902
- Phone
- 7325450435
- Fax
- 7325450629
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in NORTH BRUNSWICK, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. GREGORY GRIZONT | OPTITION | 1093839557 |
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.