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DOUGLAS J. KELLEY INC. NPI 1275715161


NPI Information

NPI: 1275715161
Provider Name: DOUGLAS J. KELLEY, INC.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
308 S NEW YORK RD UNIT D
GALLOWAY, NJ
ZIP 08205
Phone: (609) 748-2288
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DOUGLAS J. KELLEY, INC. is an eyewear supplier in Galloway, NJ. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. DOUGLAS J. KELLEY, INC. NPI is 1275715161. The provider is registered as an organization entity type.

The provider's business location address is:

308 S NEW YORK RD UNIT D
GALLOWAY, NJ
ZIP 08205-650
Phone: (609) 748-2288
Fax: (609) 748-8866

The provider's authorized official is Douglas James Kelley .
The authorized official title is Optometrist and has the following contact phone number (609) 748-2288.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 1/9/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier270A00507000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U38629MEDICARE UPINNEW JERSEY
24972790001MEDICARE NSCNEW JERSEY
3136664MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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