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

Individual provider Optometrist · NPI 1770652349

Dr. Stephen Michael Kelly, OD is an Optometry in San Bruno, California. Graduated from New England College of Optometry in 1979, 47 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
47
Trained at
New England College of Optometry
Licensed in
CA
In the registry since
2006
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

851 Cherry Ave Bayhill Ctr #25
San Bruno, CA 94066-2900
Phone: (650) 873-2020
Fax: (650) 873-5251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT 6717 TPA (CA)

Record details

NPI number1770652349
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 7, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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