The Kelly Eye Center Pa
LBN: The Kelly Eye Center Pa
The Kelly Eye Center Pa is an health care organization with primary practice located at 8851 Ellstree Ln Suite 200, Raleigh NC 27617-2045. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
The Kelly Eye Center Pa can be contacted via phone (919) 282-1100, or through Kelly, Michael Walker via phone (919) 282-1100.
Contact Information
Primary practice address
8851 Ellstree Ln Suite 200
Raleigh NC 27617-2045
Phone: (919) 282-1100
Fax: (919) 282-1119
Website:
Authorized official contact:
Name: Kelly, Michael Walker Doctor of Medicine (MD)
Phone: (919) 282-1100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1366472177 |
|---|---|
| LBN Legal business name | The Kelly Eye Center Pa |
| DBA Doing business as | |
| Authorized official | Kelly, Michael Walker Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Mar 1st, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366472177 | NPPES |
| North Carolina | MEDICAID | 89013HC |
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