Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARL A KELLY IV, O.D.
ActiveCARL A KELLY IV, O.D. is a Optometrist healthcare provider located in SHREVEPORT, Louisiana. NPI 1942290523 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SHREVEPORT, LA
Registration Details
- NPI Number
- 1942290523
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2005 (20.768243624681 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1343-477T (LA)
Practice Information
- Address
-
2611 GREENWOOD RDSHREVEPORT, LA, 711033907Browse LA providers · Browse ZIP 71103
- Phone
- 3186312020
- Fax
- 3186213023
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DONALD WALKER | OD | 1386639110 |
| STEPHEN W LEWIS | O.D. | 1336139518 |
| DR. CHRISTINE M DAVIS | OD | 1033182183 |
| JANUSZ LUKA | O.D. | 1598732919 |
| JON BRANTON | O.D. | 1275500696 |
| DR. DAVID LEE JORDAN | OD | 1730143371 |
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.