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General NPI Number Information
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NPI Number | 1639547201
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Entity Type | Organization
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Legal Business Name | KERI M POMELLA, OD PA
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Dates
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Enumeration Date | 09/12/2015
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1550 W 84TH ST
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City | HIALEAH
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State | FL
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Zip | 33014-3377
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Country | US
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Telephone | 786-558-9043
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Fax | 786-762-2926
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Provider Business Mailing Address
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Address Line | 1550 W 84TH ST STE 15
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City | HIALEAH
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State | FL
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Zip | 33014-3368
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | KERI MARIE POMELLA
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Credential |
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Telephone | 786-558-9043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC3040
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License Number State | FL
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