Easton Clint Kelsey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11008385-9934 Issued in UT

Practice address

3651 Wall Ave Ste 1226
Ogden, UT 84405-2007

Phone

(480) 732-9040

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

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.

• Ion Vision PLLC

  • Optometrist
  • Murray, UT
  • NPI 1376099432
  Medicare reassignment NPD
• Hecker Ophthalmology PA

  • Ophthalmology Physician
  • Greensboro, NC
  • NPI 1447319454

  Optometrist

  NPD (past)
• Nationwide Optometry P.C.

  • Optometrist
  • Tempe, AZ
  • NPI 1326472945
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1063470466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 S 1750 W",
            "address_2": "5",
            "city": "ROY",
            "state": "UT",
            "postal_code": "84067",
            "telephone_number": "480-204-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 WALL AVE STE 1226",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844052007",
            "telephone_number": "480-732-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "EASTON",
        "middle_name": "CLINT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "11008385-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909164",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan W Keller, PT
• Britney Kelley
• Dalena May Kelley
• Ryan M. Kelley, MD, PHD
• Alaina Kyle Kelly
• Kimball Kelsey
• Ross James Kelson, MD
• Corwin Jay Keltner, DDS, PPA
• Danielle Ashly Kemmer
• Kristian Kemp, MD

• Optometrist in Ogden, UT
• Providers in Ogden, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.