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NPI · 1164572970 · NPPES-sourced

Dr. Kelly Desimone O.D.

ActiveVision Therapy Optometrist
NPI Number
1164572970
Type 1 · Individual
Taxonomy Code
152WV0400X
Contact
(480) 893-2300
License AZ · 0862
Last Updated
About 8 months ago (Sep 2025)
Enumerated 2007-01-12
Primary practice addressAZ · 85048
15725 South 46th St, Suite 112Phoenix, AZ 85048
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About this NPIWhat this record shows.

NPI 1164572970 is registered to Dr. Kelly Desimone O.D., a Vision Therapy Optometrist practising at 15725 South 46th St, Suite 112 in Phoenix, Arizona. Vision Therapy Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Kelly Desimone O.D. has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2007-01-12
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Kelly Desimone O.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Kelly Desimone O.D. directly at (480) 893-2300.

Frequently asked

Yes. NPI 1164572970 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Vision Therapy Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (480) 893-2300.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Kelly Desimone O.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy152WV0400X
Last updated2025-09
Enumerated2007-01-12
StatusActive
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