Individual provider Active NPI

Kelly Klimo

  • Optometrist
  • Blue Ash, OH
National Provider Identifier
1053179531
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007302 Issued in OH
Practice address
1945 Cei Dr
Blue Ash, OH 45242-5664
Phone
(513) 984-5133
NPI assigned
Mar 11, 2024
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007302 OH Primary

Addresses

Primary practice location

1945 Cei Dr
Blue Ash, OH 45242-5664

Mailing address

15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172
Phone (513) 984-5133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240815002123 OH Practitioner - Optometry 9638617160 Reassigns benefits to 1 organization
I20241002000527 KY Practitioner - Optometry 9638617160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, shared by 6 NPIs, 155 clinicians

Practice addresses (Care Compare)

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741

580 S Loop Rd
Suite 200
Edgewood, KY 41017-3415
Phone 51398451333741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC LLC CurrentSince Jul 1, 2024 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Jul 1, 2024 Accepting new patients
Cei Physicians PSC LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients
Ohio Ophthalmology, Inc. Past Accepting new patients

Locations

580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000

1945 Cei Dr
Blue Ash, OH 45242

9997 Carver Rd
Ste 200
Blue Ash, OH 45242

601 Ivy Gtwy
Ste 301
Cincinnati, OH 45245
Phone (513) 654-2299

5850 Innovation Dr
Middletown, OH 45005
Phone (513) 425-9796

10615 Montgomery Rd
Ste 202
Montgomery, OH 45242
Phone (513) 296-8332

Interoperability endpoints

  • Direct secure messaging: kelly.klimo.p1@direct.cei.nextgenshare.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1053179531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "513-984-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 CEI DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425664",
            "telephone_number": "513-984-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMO",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.