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

Kellie London

Individual provider Optometrist · NPI 1134710932

Kellie London is an Optometry in South Lake Tahoe, California. Graduated from Southern College of Optometry in 2020, 6 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
Southern College of Optometry
Licensed in
CA
In the registry since
2021

Practice location Address checks out

3637 Larch Ave
South Lake Tahoe, CA 96150-7481
Phone: (530) 544-3403
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 34770 (CA)

Record details

NPI number1134710932
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2021
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Lake Tahoe