Active NPIIndividual providerSole proprietor

Dr. Meghan R Kelleman, OD

Optometrist in Glastonbry, Connecticut

NPI Number1407229503
Practice location
221 Addison RD., Suite 105, Glastonbry, CT 06033-5608
Fax
860-838-3840
Last updated
August 16, 2023

Meghan R. Kelleman is an Optometrist based in Glastonbry, CT. Meghan R. Kelleman practices in Glastonbry, CT and has the professional credentials of OD. The NPI Number for Meghan R. Kelleman is 1407229503 and holds a License No. 2967 (CT). The current practice location address for Meghan R. Kelleman is 221 Addison RD., Suite 105, Glastonbry, CT 06033-5608 and can be reached out via phone at 860-838-3838 and via fax at 860-838-3840.

Provider Profile Details

NPI Number
1407229503
Provider Name
Meghan R. Kelleman
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
221 Addison RD., Suite 105, Glastonbry, CT 06033-5608
Phone Number
860-838-3838
Fax Number
860-838-3840
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Other Names
Meghan Renee Graveline, OD (Former Name)
Provider Enumeration Date
November 11, 2015
Last Update Date
August 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
221 Addison RD.
Suite 105
Glastonbry, CT 06033-5608
Zip
06033-5608
Phone Number
860-838-3838
Fax Number
860-838-3840
Glastonbry, CT 06033Get directions →

Provider Business Mailing Address Details

Address
221 Addison RD.
Suite 105
Glastonbry, CT 06033-5608
City
Glastonbry
State
CT
Zip
06033-5608
Phone Number
860-838-3838
Fax Number
860-838-3840

License Information

License Number
2967
License State
CT
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 Dr. Meghan R Kelleman, OD?

The NPI number of Dr. Meghan R Kelleman, OD is 1407229503. It was assigned on November 11, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Meghan R Kelleman, OD?

Dr. Meghan R Kelleman, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 2967.

Where does Dr. Meghan R Kelleman, OD practice?

The practice location is 221 Addison RD., Suite 105, Glastonbry, CT 06033-5608. The office can be reached at 860-838-3838 (phone) or 860-838-3840 (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 1407229503 directly on the NPPES registry website.

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