| Dr Joseph Daniel Kelly Jr, OD | |
|
110 Glancy St Ste 208, Goodlettsville, TN 37072-2313 | |
| (615) 868-2877 | |
| (615) 870-5771 |
| Full Name | Dr Joseph Daniel Kelly Jr |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 110 Glancy St Ste 208, Goodlettsville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881042943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3305 (Tennessee) | Primary |
| Provider Name | Marie Kelly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770692238 PECOS PAC ID: 9537228200 Enrollment ID: I20081110000686 |
| Provider Name | Cool Springs Eyecare Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104968817 PECOS PAC ID: 8921193285 Enrollment ID: O20071001000845 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Daniel Kelly Jr, OD 110 Glancy St Ste 208, Goodlettsville, TN 37072-2313 Ph: (615) 868-2877 | Dr Joseph Daniel Kelly Jr, OD 110 Glancy St Ste 208, Goodlettsville, TN 37072-2313 Ph: (615) 868-2877 |
Dr. Theo Howard Ezell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 525 Rivergate Pkwy, Suite # 2, Goodlettsville, TN 37072 Phone: 615-859-1928 | |
Heather Quintanilla, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 Glancy St Ste 208, Goodlettsville, TN 37072 Phone: 615-868-2877 | |
Dr. Walter L Choate, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 306 Northcreek Blvd, Suite 101, Goodlettsville, TN 37072 Phone: 615-851-7575 Fax: 615-851-8725 | |
Jennifer Scarlato Tekiele, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 520 Rivergate Pkwy, Goodlettsville, TN 37072 Phone: 615-859-3937 Fax: 615-859-3919 | |
Lorraine Snead, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Rivergate Pkwy, Goodlettsville, TN 37072 Phone: 615-772-1555 Fax: 615-859-7801 | |
Joseph Sofranko, MD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 520 Rivergate Pkwy, Goodlettsville, TN 37072 Phone: 615-859-3937 Fax: 615-859-3917 | |
Dr. James M Judd, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 520 Rivergate Pkwy, Goodlettsville, TN 37072 Phone: 615-859-3937 Fax: 615-859-3919 |