Active NPIIndividual provider

Kellie Mcmahon

Optometrist in East Providence, Rhode Island

NPI Number1114303625
Practice location
1970 Pawtucket Ave, East Providence, RI 02914-1718
Fax
401-438-1614
Last updated
September 8, 2026

Kellie Mcmahon is an Optometrist based in East Providence, RI. Kellie Mcmahon practices in East Providence, RI. The NPI Number for Kellie Mcmahon is 1114303625 and holds a License No. 5116 (MA). The current practice location address for Kellie Mcmahon is 1970 Pawtucket Ave, East Providence, RI 02914-1718 and can be reached out via phone at 401-438-1166 and via fax at 401-438-1614.

Provider Profile Details

NPI Number
1114303625
Provider Name
Kellie Mcmahon
Provider Entity Type
Individual
Gender
Female
Address
1970 Pawtucket Ave, East Providence, RI 02914-1718
Phone Number
401-438-1166
Fax Number
401-438-1614
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
August 6, 2015
Last Update Date
September 8, 2026
Certification Date
September 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1970 Pawtucket Ave
East Providence, RI 02914-1718
Zip
02914-1718
Phone Number
401-438-1166
Fax Number
401-438-1614
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
1970 Pawtucket Ave
East Providence, RI 02914-1718
City
East Providence
State
RI
Zip
02914-1718
Phone Number
401-438-1166
Fax Number
401-438-1614

License Information

License Number
5116
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kellie Mcmahon?

The NPI number of Kellie Mcmahon is 1114303625. It was assigned on August 6, 2015 and is currently active in the NPPES registry.

What is the specialty of Kellie Mcmahon?

Kellie Mcmahon is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5116.

Where does Kellie Mcmahon practice?

The practice location is 1970 Pawtucket Ave, East Providence, RI 02914-1718. The office can be reached at 401-438-1166 (phone) or 401-438-1614 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114303625 directly on the NPPES registry website.

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