Individual provider Active NPI

Chad Killen, O.D

  • Optometrist
  • Columbus, OH
National Provider Identifier
1033771878
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007355 Issued in OH
Practice address
1664 Neil Ave
Columbus, OH 43201-2333
Phone
(614) 292-2020
Fax
(614) 247-4543
NPI assigned
Jul 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT.007355 OH Primary

Addresses

Primary practice location

1664 Neil Ave
Columbus, OH 43201-2333

Mailing address

1664 Neil Ave
Columbus, OH 43201-2333
Phone (614) 292-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190806001646 PA Practitioner - Optometry 8426385089 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003537PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University Single Specialty CurrentSince Dec 23, 2024 Accepting new patients
Pennsylvania College of Optometry Optometrist Current Accepting new patients
Drexel University CurrentSince Dec 23, 2024 Accepting new patients
Salus University Hearing Vision Balance Clinic Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Drexel University Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Drexel University Single Specialty Current Accepting new patients

Locations

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

7630 Germantown Ave
Ste 4
Philadelphia, PA 19118
Phone (215) 276-6000

1200 W Godfrey Ave
Philadelphia, PA 19141
Phone (215) 276-6000

Interoperability endpoints

  • Direct secure messaging: chad.killen.p1@direct.salusuhealth.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1033771878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 NEIL AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012333",
            "telephone_number": "614-292-2020",
            "fax_number": "614-247-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 NEIL AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012333",
            "telephone_number": "614-292-2020",
            "fax_number": "614-247-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEN",
        "first_name": "CHAD",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.