Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
SHAWN M KELLY
Active
Individual
SHAWN M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2689
MN
152W00000X
Optometrist
Primary
5621TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410049426
RAILROAD MEDICARE
TX
Enumeration date
08/22/2005
Last updated
10/28/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up