Corey Breen Kelly in Dubuque - Optometrist
Corey Breen Kelly - NPI 1720166945
Corey Breen Kelly is a Optometrist in Dubuque, Iowa. Corey Breen Kelly practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Corey Breen Kelly is 1720166945. The last update date is 2007-07-08.
Corey Breen Kelly's current location address is 555 John F Kennedy Rd, Dubuque, Iowa. You can contact this provider via phone number 5635825198 and fax number 5635825540. The mailing address for Corey Breen Kelly is 555 John F Kennedy Rd, Dubuque, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corey Breen Kelly |
|---|---|
| Address | 555 John F Kennedy Rd, Dubuque, Iowa |
| Phone Number | 5635825198 |
| Fax Number | 5635825540 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1720166945 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 555 John F Kennedy Rd |
|---|---|
| City | Dubuque |
| State | Iowa (IA) |
| Post Code | 520025202 |
| Phone Number | 5635825198 |
| Fax Number | 5635825540 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2223 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IA2223 | IA | EYEMED PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Corey Breen Kelly by the Centers for Medicare & Medicaid Services?
The Corey Breen Kelly has been assigned the NPI (National Provider Identifier) 1720166945 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Corey Breen Kelly's facilities are geographically located?
The facilities of Corey Breen Kelly are physically situated at the following location: 555 John F Kennedy Rd, Dubuque, IA, 520025202.
What is the Corey Breen Kelly's area of specialization and corresponding taxonomy classification?
The Corey Breen Kelly's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1720166945 to Corey Breen Kelly?
The Corey Breen Kelly received its 1720166945 assignment from the Centers for Medicare & Medicaid Services on 2006-11-02.
As of what date were the Corey Breen Kelly's details last updated?
The information pertaining to the Corey Breen Kelly, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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