NPI Profile for CLAVEAR KELLY in ATLANTA, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Contact Lens |
156FC0800X | |||
Contact Lens Fitter |
156FC0801X |
| NPI Number | 1811662414 |
|
| Status | Active | |
| Credentials | LDO, ABOC, NCLEC | |
| Entity | Individual | |
| Enumeration date | 08/16/2021 | |
| Last updated | 12/18/2023 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CLAVEAR KELLY
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