NPI 1619600798 · live from the CMS NPI Registry
Kaelyn Adams, O.D.
Optometrist in Bear, DE. National Provider Identifier 1619600798, active.
NPI record
| NPI | 1619600798 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1237 Quintilio Dr, Bear, DE 19701 |
| Practice phone | 302-838-0800 |
| Mailing address | 8614 Westwood Center Dr Fl 9, Vienna, VA 22182 |
| Enumerated | July 6, 2022 |
| Last updated | February 2, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | OEG003919 (PA) |
| Optometrist primary | 152W00000X | I3-0011468 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.