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Kelly Keane Od Professional Corporation

Optometrist in San Diego, CA · enumerated 2017 · authorized official Kelly Keane, Optometrist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194240358

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Registry record

Entity type Organization (Type 2)
Legal business name Kelly Keane Od Professional Corporation
Practice address 5680 Balboa Ave, San Diego, CA, 92111
Enumeration date Aug 9, 2017
Last updated in NPPES Jul 24, 2021

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 15197 (CA) Primary

Authorized official

Name Kelly Keane
Title Optometrist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Kelly Keane Od Professional Corporation?
Kelly Keane Od Professional Corporation is registered in NPPES as a Optometrist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-24.