Thomas M Kelly, OD | |
570 Dover Center Rd, Bay Village, OH 44140-2361 | |
(440) 871-1139 | |
(440) 871-0222 |
Full Name | Thomas M Kelly |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 41 Years |
Location | 570 Dover Center Rd, Bay Village, Ohio |
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 |
---|---|---|---|
1285730986 | NPI | - | NPPES |
0528094 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3675 T836 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thomas Kelly Od Inc | 4880947738 | 3 |
Provider Name | Thomas Kelly Od Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982093746 PECOS PAC ID: 4880947738 Enrollment ID: O20181023003319 |
Mailing Address | Practice Location Address |
---|---|
Thomas M Kelly, OD 457 Dover Center Rd, Bay Village, OH 44140-2357 Ph: (440) 871-1139 | Thomas M Kelly, OD 570 Dover Center Rd, Bay Village, OH 44140-2361 Ph: (440) 871-1139 |
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 | |
Thomas Kelly Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 570 Dover Center Rd, Bay Village, OH 44140 Phone: 440-871-1139 Fax: 440-871-0222 |