Organization
KELLY OPTOMETRY, A PROFESSIONAL CORPORATION
Active
Parent organization
KELLY OPTOMETRY, A PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
KELLY OPTOMETRY, A PROFESSIONAL CORPORATION
Authorized official
SUSAN L CHRISTOPHER-BRAND (CREDENTIALING MANAGER)
(703) 314-8795
Entity
Organization
Contact information
Practice address
201 BASS PRO BLVD, DENHAM SPRINGS, LA 70726-5570
(225) 665-2887
Mailing address
1 VERMONT DR, NEW HYDE PARK, NY 11042-1128
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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