| Kelly Keane Od Professional Corporation | |
|
5680 Balboa Ave, San Diego, CA 92111-2706 | |
| (858) 278-2837 | |
| Not Available |
| Full Name | Kelly Keane Od Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5680 Balboa Ave, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194240358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 15197 (California) | Primary |
| Provider Name | Kelly Keane |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326480476 PECOS PAC ID: 7517191380 Enrollment ID: I20240402001714 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Keane Od Professional Corporation 4203 Genesee Ave Suite 103, #436, San Diego, CA 92117-5071 Ph: (973) 557-5521 | Kelly Keane Od Professional Corporation 5680 Balboa Ave, San Diego, CA 92111-2706 Ph: (858) 278-2837 |
Dr. Dora Doan, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Optometry Department, San Diego, CA 92105 Phone: 619-961-0803 Fax: 619-269-1257 | |
Allen Chung, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9460 Mira Mesa Blvd Ste A, San Diego, CA 92126 Phone: 858-566-1756 Fax: 858-566-1845 | |
Hoang Minh Ho, O.d, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4840 Shawline St, San Diego, CA 92111 Phone: 858-560-5742 | |
Loan Yen Huynh, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5175 Waring Rd, San Diego, CA 92120 Phone: 619-583-1000 | |
Brenda J Swiderski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6945 El Cajon Blvd, San Diego, CA 92115 Phone: 619-697-4600 Fax: 619-464-5526 | |
Dr. Lori Johnson Bende, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4009 Governor Dr, San Diego, CA 92122 Phone: 858-453-0444 | |
Dr. Lisa M Galstian, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7770 Regents Rd, Suite 104, San Diego, CA 92122 Phone: 858-546-1940 Fax: 858-546-0940 |