SHAWN M KELLY (NPI# 1003808395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003808395 |
| Entity Type | Individual |
| Full Name | SHAWN M KELLY |
| Credential | OD |
| Practice Address |
2313 W Parker Rd Plano TX 75023-7839 |
| Practice Telephone | 9726122015 |
| Practice Fax Number | 9728675454 |
| Mailing Telephone | 9726122015 |
| Mailing Fax Number | 9728675454 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2009-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5621TG | TX | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2689 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | 410049426 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710385356 | Shawn Kelly | Physical Therapy Assistant | 1204 South Blvd, North Charleston, SC 29405-5228 | 2014-12-14 |
| 1225192131 | Shawn Connery Kelly | Counselor | 109 Petrolia Rd, Petrolia, PA 16050 | 2006-12-22 |
| 1427675107 | Shawn Kelly | Behavior Technician | 300 W Swanson Ave, Wasilla, AK 99654-6844 | 2020-06-29 |
| 1508393919 | Shawn Christine Kelly | Speech-Language Pathologist | 2820 Northup Way Ste 120, Bellevue, WA 98004-1419 | 2017-05-16 |
| 1336565712 | Shawn Kelly | Adult Companion | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2014-03-10 |
| 1174831093 | Shawn Demian Kelly | Nurse Practitioner | 1061 Harmon Ave, Winn Ach, Fort Stewart, GA 31314-5641 | 2010-09-14 |
| 1932425329 | Shawn C. Kelly | Internal Medicine | 1101 26th St S, Great Falls, MT 59405-5161 | 2010-04-12 |
| 1013082189 | Shawn Patrick Kelly | Dentist | 13 Somerdale Sq, Somerdale, NJ 08083-1345 | 2006-11-22 |
| Street Address |
2313 W PARKER RD |
| City | PLANO |
| State | TX |
| Zip Code | 75023-7839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902898422 | Harold R Codianne | Optometrist | 2313 W Parker Rd, Plano, TX 75023-7839 | 2005-08-19 |
| 1265078323 | Med Southwest, Pllc | Optometrist | 2313 W Parker Rd, Plano, TX 75023-7839 | 2019-11-25 |
| 1164076949 | Johnson Ly | Optometrist | 2313 W Parker Rd, Plano, TX 75023-7839 | 2019-07-30 |
| 1538680509 | Parisa Foroutan | Optometrist | 2313 W Parker Rd, Plano, TX 75023-7839 | 2017-06-29 |
| 1144634957 | Stephen S Anderson | Optometrist | 2313 W Parker Rd, Plano, TX 75023-7839 | 2014-06-19 |
| 1396902565 | Ne Texas Eye Care Pa | Optometrist | 2313 W Parker Rd, Plano, TX 75023-7839 | 2008-05-16 |
| 1619193612 | Harold R Codianne Od Pa | Optometrist | 2313 W Parker Rd, Plano, TX 75023-7839 | 2007-04-18 |
| 1588657506 | Brian Daniel Rast | Optometrist | 2313 W Parker Rd, Plano, TX 75023-7839 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854116 | Vanessa C Eldridge | Registered Nurse | 1008 Lockhart Dr, Plano, TX 75023 | 2020-06-05 |
| 1750935573 | Asistencia En Casa Therapy Service, Inc. | Nursing Care | 1225 Glyndon Dr., Plano, TX 75023 | 2019-07-30 |
| 1215420567 | Vera Ngozi Anyirah | Registered Nurse | 3412 Grenoble Court, Plano, TX 75023 | 2018-06-12 |
| 1043740004 | Varun Joseph | Dentist | 3405 Silverstone Dr Ste 100, Plano, TX 75023 | 2017-06-13 |
| 1902330384 | Applegate Health Services, Inc | Clinic/Center | 3303 N. Central Expressway, Suite 210, Plano, TX 75023 | 2017-04-12 |
| 1821529603 | Emerson Speech and Consulting | Speech-Language Pathologist | 6565 Independence Pkwy, Plano, TX 75023 | 2017-03-23 |
| 1033502018 | Marquis Hines | Occupational Therapy Assistant | 701 Legacy Dr Apt 1224, Plano, TX 75023 | 2015-03-14 |
| 1811386303 | Gn Medical Center, Inc. | Clinic/Center | 3415 Custer Rd., Ste 100, Plano, TX 75023 | 2015-01-21 |
| 1568850899 | Parvaneh Yancheshmeh Azimi | Nurse Practitioner | 2045 Hawken Dr, Plano, TX 75023 | 2015-01-09 |
| 1568866358 | Byungwon Choi | Chiropractor | 2050 W. Spring Creek Pkwy Suite 208, Plano, TX 75023 | 2014-10-22 |
| Find all providers in zip 75023 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291773 | Central Vision Clinic | Optometrist | 2400 K Ave Ste 2400e, Plano, TX 75074-5942 | 2020-09-24 |
| 1316550411 | Drs Milburn-plano LLC | Optometrist | 1713 Preston Rd Ste A, Plano, TX 75093-5155 | 2020-08-28 |
| 1659921658 | Motiveyes Eye Care Pllc | Optometrist | 8621 Ohio Dr Ste 100, Plano, TX 75024-2264 | 2019-09-12 |
| 1245887975 | Amanda Raye Chamberlin | Optometrist | 4012 Preston Rd Ste 500, Plano, TX 75093-7351 | 2019-08-19 |
| 1720632573 | Daniel Max & Marcandrea LLC | Optometrist | 5049 N Central Expy, Plano, TX 75023-4701 | 2019-07-30 |
| 1558848648 | Kristina Ngoc-thuy Nhan | Optometrist | 1900 Preston Rd Ste 265, Plano, TX 75093-5203 | 2018-07-23 |
| 1326541087 | Robert M Birenbaum Od PC | Optometrist | 7500 Windrose Ave Ste B180, Plano, TX 75024-0163 | 2018-03-08 |
| 1932608601 | American Eyelabs LLC | Optometrist | 9708 Capilano Dr, Plano, TX 75025-6496 | 2018-02-07 |
| 1851804587 | Courtney Hazelwood Cates | Optometrist | 7140 Preston Rd Ste 300, Plano, TX 75024-3285 | 2017-11-16 |
| 1588191886 | Anita Jacob George | Optometrist | 3060 Communications Pkwy Ste 205, Plano, TX 75093-1629 | 2017-05-17 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.