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Deactivated NPI 1356569263 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Lawrence Kelly , MD

Ophthalmology • Edwards, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Kelly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 23, 2007
NPI Deactivation Date January 15, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Kelly, MD was a registered Ophthalmology practicing in Edwards, CO. Throughout an active medical career spanning 19 years, Dr. Kelly provided care at the practice location at 1140 EDWARDS VILLAGE BLVD. until profile deactivation on 2026-01-15.

Practice Location & Contact Primary Location

Practice Address

1140 Edwards Village Blvd.
Edwards Village Ii, Bldg. B

Edwards, CO 81632

Telephone 9709267926
Fax 9709269587

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Edwards, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Edwards, CO (361 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CO 39381

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1336142793

Doctor of Optometry

NPI 1629544127

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 15, 2026

Record deactivated on January 15, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1140 EDWARDS VILLAGE BLVD., EDWARDS VILLAGE II, BLDG. B, EDWARDS, CO 81632 (Tel: 9709267926)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 4637, EDWARDS, CO 816324637 (Tel: 9709269586)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS KELLY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #39381 in CO)

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Initial NPI Registration & Enumeration April 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356569263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2007
Last Update: July 08, 2007
Deactivation Date: January 15, 2026

Mailing Address

Po Box 4637

Edwards, CO 816324637

Phone: 9709269586

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.