DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STEPHEN MICHAEL KELLY, O.D.

Active Sole Proprietor

DR. STEPHEN MICHAEL KELLY, O.D. is a Optometrist healthcare provider located in SAN BRUNO, California. NPI 1770652349 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SAN BRUNO, CA

Registration Details

NPI Number
1770652349
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2006 (19.623149485775 yrs)
Last Updated
Jul 8, 2007
License
OPT 6717 TPA (CA)
Sole Proprietor
Yes

Practice Information

Address
851 CHERRY AVE
BAYHILL CENTER #25
SAN BRUNO, CA, 940662900
Browse CA providers · Browse ZIP 94066
Phone
6508732020
Fax
6508735251
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in SAN BRUNO, CA

Name Credential NPI
DR. THOMAS A ALLER O.D. 1366431330
DR. CONNIE HA O.D. 1700807369
DR. SHERRYL LYNNE QUONG O.D. 1538246806
DR. CHRISTINA VIGIL O.D. 1326114117
ELIZABETH F CHEN O.D. 1619031549
JENNIFER CHEN O.D. 1295030476
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.