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

Individual provider Optometrist · NPI 1164572970

Dr. Kelly D. Desimone, OD is an Optometrist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

15725 S 46th St Ste 112
Phoenix, AZ 85048
Phone: (480) 893-2300
Fax: (480) 893-0522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vision Therapy Optometrist (primary) Taxonomy 152WV0400X · Licence 0862 (AZ)
Optometrist Taxonomy 152W00000X · Licence 0862 (AZ)

Record details

NPI number1164572970
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJanuary 12, 2007
Last updated in NPPESSeptember 11, 2025

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