Organization
THOMAS M. KELLY O.D., INC.
Active
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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