Kelly Optometry, A Professional Corporation
NPI 1104748169ActiveOrganization· Optometrist· Denham Springs, LA
Optometrist in Denham Springs, Louisiana, registered in NPPES in July 2026, part of Kelly Optometry, A Professional Corporation. The authorized official on file is Susan L. Christopher-Brand, Credentialing Manager.
Overview
| NPI | 1104748169 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kelly Optometry, A Professional Corporation |
| NPI issued | Jul 29, 2026 |
| Last updated in NPPES | Jul 29, 2026 |
| Certified by provider | Jul 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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