DR. KELLY HERRON (NPI# 1710473780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710473780 |
| Entity Type | Individual |
| Full Name | DR. KELLY HERRON |
| Credential | OD |
| Practice Address |
7405 Shallowford Rd Chattanooga TN 37421-2661 |
| Mailing Address |
726 Fulton St Apt 432 Chattanooga TN 37402-6933 |
| Practice Telephone | 4238558522 |
| Mailing Telephone | 8608033355 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | NA | GA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3200 Downwood Cir Nw Ste 240, Atlanta, GA 303271618 | 4043557000 | |
| 1800 Phoenix Blvd Ste 406, Atlanta, GA 303495560 | 7709966664 | |
| 5505 Peachtree Dunwoody Rd Ste 300, Atlanta, GA 303421713 | 4042570814 | |
| 1544 Piedmont Ave Ne Ste 320, Atlanta, GA 303245018 | 4048889444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447215330 | Kelly A Herron | Obstetrics & Gynecology | 990 South Ave, Suite 103, Rochester, NY 14620-2763 | 2006-04-20 |
| Street Address |
7405 SHALLOWFORD RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669468047 | Larry D Howard | Internal Medicine | 7405 Shallowford Rd, Suite 280, Chattanooga, TN 37421-2661 | 2005-09-21 |
| 1497115406 | Allied Optical Shop Inc. | Eyewear Supplier (Equipment, not the service) | 7405 Shallowford Rd, Suite 420, Chattanooga, TN 37421-2661 | 2016-03-03 |
| 1851738991 | Premier Sleep Center, LLC | Clinic/Center | 7405 Shallowford Rd, Ste 240, Chattanooga, TN 37421-2661 | 2013-05-30 |
| 1124464995 | Allied Pediatrics Pllc | Pediatrics | 7405 Shallowford Rd, Suite 270, Chattanooga, TN 37421-2661 | 2013-05-20 |
| 1932392248 | Judy Diane Kitson | Nurse Practitioner | 7405 Shallowford Rd, Suite 160, Chattanooga, TN 37421-2661 | 2007-08-20 |
| 1932300811 | Delia Annelize Wessels Anderson | Pediatrics | 7405 Shallowford Rd, Suite 270, Chattanooga, TN 37421-2661 | 2007-05-30 |
| 1558407353 | John Ross | Chiropractor | 7405 Shallowford Rd, Suite 320, Chattanooga, TN 37421-2661 | 2007-01-29 |
| 1902914237 | Chattanooga Bariatrics, Pllc | Surgery | 7405 Shallowford Rd, Ste 160, Chattanooga, TN 37421-2662 | 2006-08-28 |
| 1316052624 | Kerry D. Friesen, M.d. PC | Internal Medicine | 7405 Shallowford Rd, Suite 270, Chattanooga, TN 37421-2661 | 2006-08-20 |
| 1497702674 | Hamilton Family Medicine | Family Medicine | 7405 Shallowford Rd, Suite 160, Chattanooga, TN 37421-2661 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| 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 |
|---|---|---|---|---|
| 1619585130 | Caroline Elizabeth Vollberg | Optometrist | 7268 Jarnigan Rd Ste 200, Chattanooga, TN 37421-3097 | 2020-07-21 |
| 1477082287 | Chattanooga Eye Care, LLC | Optometrist | 1201 Market St Ste B, Chattanooga, TN 37402-2714 | 2017-06-06 |
| 1326442559 | Brooke Millison Lane David | Optometrist | 1208 Pointe Centre Dr Ste 100, Chattanooga, TN 37421-3989 | 2014-10-17 |
| 1891199337 | Anne Strong | Optometrist | 2100 Hamilton Place Blvd Ste 167, Chattanooga, TN 37421-6057 | 2014-10-13 |
| 1841621422 | Matthew C Bohrman Od LLC | Optometrist | 309 N Market St Ste A, Chattanooga, TN 37405-3908 | 2013-12-06 |
| 1336432251 | Idoc Holdings LLC | Optometrist | 2004 Gunbarrel Rd, C/o Eye Glass World, Chattanooga, TN 37421-2605 | 2011-05-25 |
| 1578887485 | Leslie Draper Od PC | Optometrist | 1201 Market St, Ste B, Chattanooga, TN 37402-2714 | 2010-03-22 |
| 1730388042 | Lett Eye Care, Pllc | Optometrist | 5626 Brainerd Rd, Chattanooga, TN 37411-5310 | 2007-07-16 |
| 1801014840 | Charles A Rosenthal | Optometrist | 2040 Hamilton Place Blvd Ste 400, Chattanooga, TN 37421 | 2007-04-23 |
| 1821125485 | Mark R. Kapperman, Od PC | Optometrist | 1720 Gunbarrel Rd Ste 100, Chattanooga, TN 37421-3192 | 2007-02-28 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.