Organization
NICHOLAS J KELSEY
Active
Other names
Clarity Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS J KELSEY OD (OPTOMETRIS)
(208) 731-8974
Entity
Organization
Contact information
Practice address
503 BROADWAY AVE S, SUITE A, BUHL, ID 83316-1312
(208) 944-9008
Mailing address
928 TROTTER DR., TWIN FALLS, ID 83301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100146
ID
152WC0802X
Corneal and Contact Management Optometrist
ODP-100146
ID
152WP0200X
Pediatric Optometrist
ODP-100146
ID
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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