Dr. Kelsey Dedomenico, OD
Optometrist in Middletown, Rhode Island
1861266967- Practice location
- 99 E Main RD, Middletown, RI 02842-4983
- Phone
- 401-848-7400
- Fax
- —
- Last updated
- November 9, 2023
Kelsey Dedomenico is an Optometrist based in Middletown, RI. Kelsey Dedomenico practices in Middletown, RI and has the professional credentials of OD. The NPI Number for Kelsey Dedomenico is 1861266967 and holds a License No. ODTG00752 (RI). The current practice location address for Kelsey Dedomenico is 99 E Main RD, Middletown, RI 02842-4983 and can be reached out via phone at 401-848-7400.
Provider Profile Details
- NPI Number
- 1861266967
- Provider Name
- Kelsey Dedomenico
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 99 E Main RD, Middletown, RI 02842-4983
- Phone Number
- 401-848-7400
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 9, 2023
- Last Update Date
- November 9, 2023
- Certification Date
- November 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 99 E Main RD
Middletown, RI 02842-4983 - City
- Middletown
- State
- Rhode Island
- Zip
- 02842-4983
- Phone Number
- 401-848-7400
Provider Business Mailing Address Details
- Address
- 27 Sachem St
Billerica, MA 01821-6403 - City
- Billerica
- State
- MA
- Zip
- 01821-6403
- Phone Number
- 978-821-6780
License Information
- License Number
- ODTG00752
- License State
- RI
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Middletown, RI
View all Optometrists in Middletown →Frequently Asked Questions
What is the NPI number of Dr. Kelsey Dedomenico, OD?
The NPI number of Dr. Kelsey Dedomenico, OD is 1861266967. It was assigned on November 9, 2023 and is currently active in the NPPES registry.
What is the specialty of Dr. Kelsey Dedomenico, OD?
Dr. Kelsey Dedomenico, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in RI under license number ODTG00752.
Where does Dr. Kelsey Dedomenico, OD practice?
The practice location is 99 E Main RD, Middletown, RI 02842-4983. The office can be reached at 401-848-7400 (phone).
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 1861266967 directly on the NPPES registry website.