IndividualActive
Kelly Wilkerson, COA
NPI 1942067384 · Ophthalmic Assistant · Houston, TX
Provider details
- NPI number
- 1942067384
- Entity type
- Individual
- Primary specialty
- Ophthalmic AssistantEye and Vision Services Providers
- Credential
- COA
- Sex
- Female
- Sole proprietor
- No
- License
- 264895 (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
2855 Gramercy St
Houston, TX 77025-1697
Phone: (682) 871-3668
Approximate (ZIP-level) locationGet directions
Mailing address
2855 Gramercy St
Houston, TX 77025-1697
Registry dates
- Enumerated
- 2024-03-04
- Last updated
- 2024-03-04
- Certified
- 2024-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.