Kelly Optometry, A Professional Corporation
Optometrist in Monroe, LA. Organization (NPI-2).
NPI number1043132012
StatusActive
Last updated in NPPESJul 29, 2026
Details
- NPI
- 1043132012
- Entity type
- Organization (NPI-2)
- Legal business name
- Kelly Optometry, A Professional Corporation
- Organization subpart
- Yes
- Enumeration date
- Jul 29, 2026
- Certification date
- Jul 29, 2026
- Last updated
- Jul 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
5400 Frontage RdMonroe, LA 71202-4040
Phone 318-343-3370
Mailing address
1 Vermont DrNew Hyde Park, NY 11042-1128
Authorized official
Susan L Christopher-Brand
Credentialing Manager
7033148795
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All 16 Optometrist providers in Monroe · All 4,700 providers in Monroe
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