| Thomas Kelly Od Inc | |
|
570 Dover Center Rd, Bay Village, OH 44140-2361 | |
| (440) 871-1139 | |
| (440) 871-0222 |
| Full Name | Thomas Kelly Od Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 570 Dover Center Rd, Bay Village, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982093746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3675 (Ohio) | Primary |
| Provider Name | Thomas Kelly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285730986 PECOS PAC ID: 8224923339 Enrollment ID: I20040218000244 |
| Provider Name | Karen E Frombach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568429876 PECOS PAC ID: 4082627815 Enrollment ID: I20060724000065 |
| Provider Name | Abbey Marie Zimmerman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609428028 PECOS PAC ID: 7517296874 Enrollment ID: I20190911002459 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Kelly Od Inc 570 Dover Center Rd, Bay Village, OH 44140-2361 Ph: (440) 871-1139 | Thomas Kelly Od Inc 570 Dover Center Rd, Bay Village, OH 44140-2361 Ph: (440) 871-1139 |
Thomas M Kelly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 570 Dover Center Rd, Bay Village, OH 44140 Phone: 440-871-1139 Fax: 440-871-0222 | |
Karen Elizabeth Frombach, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 570 Dover Center Rd, Bay Village, OH 44140 Phone: 440-871-1139 Fax: 440-871-0222 | |
Abbey Marie Zimmerman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 570 Dover Center Rd, Bay Village, OH 44140 Phone: 440-871-1139 |