DR. KELLY DAVIS (OD) – Optometrist, NPI 1649337106

DR. KELLY DAVIS (OD) is a healthcare provider. based in Carbondale, Illinois. specializing in Optometrist. They hold the professional credentials OD. The NPI Number for DR. KELLY DAVIS (OD) is 1649337106

Main info

Female
Name
DR. KELLY DAVIS (OD)
NPI
1649337106
Phone
(618) 351-8900
Address
2800 W MAIN ST
Enumeration Date
3 January 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for DR. KELLY DAVIS (OD)

  • 2800, West Main Street, Carbondale, Jackson County, Illinois, 62901, United States

    CARBONDALE, IL 629011087

    Phone: (618) 351-8900

    Fax: (618) 351-0076

    Type: Mailing

  • 500, Lincoln Drive, Herrin, Williamson County, Illinois, 62948, United States

    SUITE A

    HERRIN, IL 629486334

    Phone: (618) 351-8900

    Fax: (618) 351-0076

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62901)

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Reviews

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Frequently asked questions

What is DR. KELLY DAVIS (OD)'s NPI number?
DR. KELLY DAVIS (OD)'s NPI is 1649337106 — the number used across U.S. healthcare to identify this provider.
Is DR. KELLY DAVIS (OD) still an active registrant?
DR. KELLY DAVIS (OD) carries an active NPI according to the public dataset.
How would a patient describe DR. KELLY DAVIS (OD)'s focus?
For DR. KELLY DAVIS (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. KELLY DAVIS (OD) located near Carbondale?
DR. KELLY DAVIS (OD) currently maps to Carbondale, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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