DR. KELLYE JOY KNUEPPEL OD NPI 1386616324

NPI Information

  • NPI: 1386616324
  • Provider Name: DR. KELLYE JOY KNUEPPEL, OD
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13255 W BLUEMOUND RD
    SUITE 200
    BROOKFIELD, WI
    ZIP 53005
  • Phone: (262) 784-9201

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NPI Details

DR. Kellye Joy Knueppel, OD is a vision therapy optometrist in Brookfield, WI. The provider is 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. DR. Kellye Joy Knueppel, OD NPI is 1386616324. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13255 W BLUEMOUND RD
SUITE 200
BROOKFIELD, WI
ZIP 53005-245
Phone: (262) 784-9201
Fax: (262) 784-9206

The NPI 1386616324 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 2/3/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WV0400XOptometristVision Therapy2553-035WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U52189MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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