Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Keane OD Professional Corporation

Organization Optometrist · NPI 1194240358

Kelly Keane OD Professional Corporation is an Optometrist in San Diego, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

5680 Balboa Ave
San Diego, CA 92111-2706
Phone: (858) 278-2837
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 15197 (CA)

Record details

NPI number1194240358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Keane — Optometrist · (973) 557-5521
NPI enumeratedAugust 9, 2017
Last updated in NPPESJuly 24, 2021
Certification dateJuly 24, 2021
Mailing address4203 Genesee Ave Suite 103, 436, San Diego, CA 92117-5071

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