Kelsi Butherus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100183 Issued in ID

Practice address

355 E Neider Ave
Coeur D Alene, ID 83815-3723

Phone

(208) 676-7356

NPI assigned

Feb 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsi Kepler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Key Vision Services, P.C.

  • Optometrist
  • Coeur d'Alene, ID
  • NPI 1427688431
  NPD Authorized official
• Lisa L Robinson OD PC

  dba Coeur d Alene Eye Care

  • Optometrist
  • Coeur d'Alene, ID
  • NPI 1184854408
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1174762389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N GOVERNMENT WAY # 233",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838153751",
            "telephone_number": "208-660-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E NEIDER AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838153723",
            "telephone_number": "208-676-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTHERUS",
        "first_name": "KELSI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSI",
            "last_name": "KEPLER",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann Marie Burton
• Nikki D Burton, MAT
• Victor George Burton, IP
• Barclay Buss, MFT, LCPC
• Jacqueline Lee Butera, MA, LPC
• Christopher Butler, D.P.M.
• Nichole Janine Buynak, DO
• Thomas J Byrne, PA-C
• Karen S. Cabell, DO
• Tiffany Sarah Cage

• Optometrist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.