Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY L JOEDICKE, O.D.
ActiveDR. KELLY L JOEDICKE, O.D. is a Corneal & Contact Management Optometrist healthcare provider located in CHANTILLY, Virginia. NPI 1578682977 is currently active in the NPPES registry. Verify at CMS.
Corneal & Contact Management Optometrist · CHANTILLY, VA
Registration Details
- NPI Number
- 1578682977
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2007 (19.411604368411 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0618000697 (VA)
Practice Information
- Address
-
3910 CENTREVILLE RD#100CHANTILLY, VA, 201513279Browse VA providers · Browse ZIP 20151
- Phone
- 7038306380
- Fax
- 7032632441
- Primary Specialty
-
Corneal & Contact Management Optometrist
152WC0802X
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.