Healthcare Provider Details

I. General information

NPI: 1144954710
Provider Name (Legal Business Name): KELLY MARIE ARMSTRONG OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MEMORIAL DR STE A
DOYLESTOWN PA
18901-3529
US

IV. Provider business mailing address

235 PARK AVE S FL 2
NEW YORK NY
10003-1405
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-5144
  • Fax: 215-345-5846
Mailing address:
  • Phone: 212-884-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number009582
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: