Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY RICHMOND REVY, OD
Active Sole ProprietorDR. KELLY RICHMOND REVY, OD is a Optometrist healthcare provider located in GOOSE CREEK, South Carolina. NPI 1790952711 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GOOSE CREEK, SC
Registration Details
- NPI Number
- 1790952711
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2008 (18.246293184753 yrs)
- Last Updated
- Nov 5, 2024
- License
-
5742 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
746 PULASKI STGOOSE CREEK, SC, 294456143Browse SC providers · Browse ZIP 29445
- Phone
- 8435772011
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in GOOSE CREEK, SC
| Name | Credential | NPI |
|---|---|---|
| DR. DIANE JURAS | O.D. | 1629026570 |
| MS. NICOL L. MAYFIELD | O.D. | 1487604898 |
| MRS. KAREN L KING | OD | 1760405955 |
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.