IndividualActive
Kelly Pettigrew, OPTICIAN LICENSE FL
NPI 1164917373 · Optometrist · Dulce, NM
Kelly Pettigrew, OPTICIAN LICENSE FL is a Optometrist provider in Dulce, NM (NPI 1164917373).
Provider details
- NPI number
- 1164917373
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OPTICIAN LICENSE FL
- Sex
- Female
- Sole proprietor
- No
- License
- DO5748 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 North Mundo
Dulce, NM 87528
Phone: (575) 759-3291
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 187
Dulce, NM 87528-0187
Registry dates
- Enumerated
- 2018-06-29
- Last updated
- 2018-06-29
Frequently asked questions
- What is Kelly Pettigrew's NPI number?
- Kelly Pettigrew's National Provider Identifier (NPI) is 1164917373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Pettigrew's specialty?
- Kelly Pettigrew is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Kelly Pettigrew located?
- Kelly Pettigrew's practice location on file with NPPES is 505 North Mundo, Dulce, NM 87528.
- What is Kelly Pettigrew's phone number?
- The practice phone number listed in the NPPES registry for Kelly Pettigrew is (575) 759-3291.
- Is Kelly Pettigrew's NPI active?
- Yes — Kelly Pettigrew's NPI (1164917373) is active in the NPPES registry as of the last update on 2018-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.