Caitlin T Kelly, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6587 Issued in OH

Practice address

484 County Line Rd W Ste 120
Westerville, OH 43082-7110

Phone

(614) 895-9955

NPI assigned

May 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olding Eye Care, LLCGroup PAC ID 9032376322, 3 clinicians

Practice addresses (Care Compare)

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.

• Olding Eye Care, LLC

  • Optometrist
  • Westerville, OH
  • NPI 1780952424
  Medicare reassignment Care Compare group NPD
• Fries Eye Care, LLC

  • Optometrist
  • Westerville, OH
  • NPI 1609018126
  NPD (past)

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1184152977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5054 GODOWN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 COUNTY LINE RD W STE 120",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827110",
            "telephone_number": "614-895-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N James Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432191834",
            "country_code": "US",
            "telephone_number": "614-257-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CAITLIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatoumata Keita
• John Sheku Keita
• Vonda Keita
• Cynthia Josephine Kellar, CNP
• Kelly Altic Lisw-S Counseling LLC
• Timothy Kelly, MD
• Erin Kathryn Kemp, D.D.S.
• Kathryn Mault Kemp, D.D.S
• William R Kemp, M.D.
• Beth Kemper

• Optometrist in Westerville, OH
• Providers in Westerville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.