Individual provider · Type 1 NPI

Kelly D. Desimone, OD

Vision Therapy Optometrist · Phoenix, AZ

NPI number 1164572970 Active

Practice location

15725 South 46th St, Suite 112
Phoenix, AZ 85048

Fax (480) 893-0522

Mailing address

14417 S 24th Pl
Phoenix, AZ 85048-9015

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000X0862 (AZ)
Vision Therapy Optometrist Primary 152WV0400X0862 (AZ)

Vision Therapy Optometrist: Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.

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About NPI 1164572970

Kelly D. Desimone, OD's National Provider Identifier is 1164572970, issued on Jan 12, 2007. The primary taxonomy on file is Vision Therapy Optometrist (152WV0400X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 11, 2025.