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Organization

THOMAS M. KELLY O.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS MILO KELLY O. D. (OPTOMETRIST)
(440) 871-1139
Entity
Organization

Contact information

Practice address
THOMAS M KELLY OD INC., 433 DOVER CENTER RD, BAY VILLAGE, OH 44140-2357
(440) 871-1139
(440) 871-0222
Mailing address
457 DOVER CENTER RD, BAY VILLAGE, OH 44140-2357
(440) 871-1139
(440) 871-0222

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3675
OH
332H00000X
Eyewear Supplier
Primary
3675
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0528094
OH
Enumeration date
07/17/2008
Last updated
11/05/2024
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