Kim Kelly, OD
NPI 1629963459 · Optometrist · Chula Vista, CA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kim Kelly, OD is a Optometrist provider in Chula Vista, CA (NPI 1629963459).
Provider details
- NPI number
- 1629963459
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 36002 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-06-11
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Frequently asked questions
- What is Kim Kelly's NPI number?
- Kim Kelly's National Provider Identifier (NPI) is 1629963459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Kelly's specialty?
- Kim Kelly is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Kim Kelly located?
- Kim Kelly's practice location on file with NPPES is 342 F St, Chula Vista, CA 91910-2625.
- What is Kim Kelly's phone number?
- The practice phone number listed in the NPPES registry for Kim Kelly is (619) 422-1471.
- Does Kim Kelly accept Medicare?
- Kim Kelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kim Kelly's NPI active?
- Yes — Kim Kelly's NPI (1629963459) is active in the NPPES registry as of the last update on 2025-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.