Kelly C-K Tierney, OD
Optometrist · Flint, MI
Kelly C-K Tierney, OD is an optometrist with a practice address in Flint, Michigan, and NPI 1073706578, issued on Aug 20, 2007. Check the license (Michigan 4901004430, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly C-K Tierney
- Credential
- OD
- Primary taxonomy
- Optometrist 152W00000X
- License numbers
- 4901004430 MI
5725 OH
Self-reported in NPPES; status is on the state search - Practice location
- 4281 Lennon RD, Flint, MI 48507
- Phone
- (810) 720-9111
- Enumerated
- Aug 20, 2007
- Record last updated
- Sep 26, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (810) 720-9119
- Medicare enrollment
- Enrolled (PECOS I20120928000504); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest optometrist records → All 1,963 in Michigan → Look up another NPI →
Verify Kelly C-K Tierney in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 4901004430Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Svs Vision IncWaterford, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly C-K Tierney among 1,963 optometrist records in Michigan
Kelly C-K Tierney, OD is one of 1,963 optometrist records with a practice address in Michigan. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 42% of them.
- NPI issued2007 · 42% of these records are older, 44% newer
- In a Medicare fileYes · 69% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2007 · median 2009 among the 1,121 with a school on file
- Record last updated2012 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Optometrist providers in Michigan
There are 1,963 optometrist records in Michigan.
All 1,963 in Michigan → Every provider in Flint → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Roslyn Ballard, ODFlint, MI 485071184766156
- Tamara Dunn, O.D.Flint, MI 485071881847358
- Mary Espy, ODFlint, MI 485071538130703
- Lee Halsted, O.D.Flint, MI 485071508876814
- Marla Hayden, O.D.Flint, MI 485071093729188
- Jeffery Iceberg, ODFlint, MI 485071356497432
- Josephus Knight, O.D.Flint, MI 485071487714648
- Emily Krueger, ODFlint, MI 485071922565183
Common questions
What is Kelly C-K Tierney, OD's NPI number?
Kelly C-K Tierney, OD's National Provider Identifier (NPI) is 1073706578, issued on Aug 20, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Kelly C-K Tierney, OD located?
The NPPES record lists a practice address at 4281 Lennon RD, Flint, MI, 48507. Phone: (810) 720-9111. Providers update this record themselves, so call before visiting.
How can I verify Kelly C-K Tierney, OD's license?
NPPES lists Michigan license number 4901004430, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.