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

Individual provider Optometrist · NPI 1669843462

Dr. Michael David Kelleman, OD is an Optometry in Newington, Connecticut. Qualified in 2015, 11 years ago. Practices with Charter Oak Health Center, Inc, a 37-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
11
Licensed in
CT
In the registry since
2015
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

555 Willard Ave Eye Clinic
Newington, CT 06111-2631
Phone: (908) 812-4345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2965 (CT)

Record details

NPI number1669843462
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 19, 2015
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing address555 Willard Ave, Eye Clinic, Newington, CT 06111-2631

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Charter Oak Health Center, Inc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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