Kelly D. Desimone in Phoenix - Vision Therapy
Kelly D. Desimone - NPI 1164572970
Kelly D. Desimone is a Vision Therapy in Phoenix, Arizona. Kelly D. Desimone practices all healthcare services and medical treatments related to Vision Therapy. The NPI Number for Kelly D. Desimone is 1164572970. The last update date is 2007-07-08.
Kelly D. Desimone's current location address is 15725 South 46th St, Phoenix, Arizona. You can contact this provider via phone number 4808932300 and fax number 4808930522. The mailing address for Kelly D. Desimone is 15725 South 46th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly D. Desimone |
|---|---|
| Address | 15725 South 46th St, Phoenix, Arizona |
| Phone Number | 4808932300 |
| Fax Number | 4808930522 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1164572970 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15725 South 46th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85048 |
| Phone Number | 4808932300 |
| Fax Number | 4808930522 |
Provider's Primary Taxonomy Detail
| Speciality | Vision Therapy |
|---|---|
| Taxonomy | 152Wv0400X |
| Licence No | 862 |
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Definition: Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or |
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What is the unique 10-digit identification code issued to Kelly D. Desimone by the Centers for Medicare & Medicaid Services?
The Kelly D. Desimone has been assigned the NPI (National Provider Identifier) 1164572970 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kelly D. Desimone is physically located?
The Kelly D. Desimone is situated at the following address: 15725 South 46Th St, Phoenix, AZ 85048.
What is Kelly D. Desimone's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly D. Desimone is Vision Therapy, and the corresponding taxonomy classification code for this specialized field is 152Wv0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164572970 to Kelly D. Desimone?
The Centers for Medicare & Medicaid Services originally issued the 1164572970 to Kelly D. Desimone on 2007-01-12.
When was the information related to Kelly D. Desimone most recently updated or refreshed?
The details pertaining to the Kelly D. Desimone, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA