Dr Malcolm H Kelly Jr, OD | |
49 S 2nd St, Oxford, PA 19363-1370 | |
(610) 932-9356 | |
(610) 932-3097 |
Full Name | Dr Malcolm H Kelly Jr |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 49 Years |
Location | 49 S 2nd St, Oxford, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356388060 | NPI | - | NPPES |
091164 | Other | PA | MEDICARE ID - GROUP MEDICARE NO. |
OEG000335 | Other | PA | PA STATE LICENSE NO. |
5426540001 | Other | PA | DMERC JURISDICTION A |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG000335 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Myeyedr Optometry Of Pennsylvania Llc | 3971884883 | 87 |
Provider Name | Myeyedr Optometry Of Pennsylvania Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003264607 PECOS PAC ID: 3971884883 Enrollment ID: O20170109002363 |
Mailing Address | Practice Location Address |
---|---|
Dr Malcolm H Kelly Jr, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Dr Malcolm H Kelly Jr, OD 49 S 2nd St, Oxford, PA 19363-1370 Ph: (610) 932-9356 |
Myeyedr. Optometrist Medicare: Medicare Enrolled Practice Location: 49 S 2nd St, Oxford, PA 19363 Phone: 610-932-9356 Fax: 610-930-3097 | |
Dr. Hala Kamran Siddiqui, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 49 S 2nd St, Oxford, PA 19363 Phone: 610-932-9356 | |
Oxford Family Eyecare, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 49 S 2nd St, Oxford, PA 19363 Phone: 610-932-9356 Fax: 610-932-3097 |