Individual provider Active NPI

Kelly Bain Steele, O.D.

  • Optometrist
  • Evans, GA
National Provider Identifier
1255711644
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003575 Issued in GA
Practice address
510 N Belair Rd
Evans, GA 30809-3105
Phone
(706) 863-3030
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003575 GA Primary

Addresses

Primary practice location

510 N Belair Rd
Evans, GA 30809-3105

Mailing address

Bassett Army Community Hospital
1060 Gaffney Rd #7440
Ft. Wainwright, AK 99703
Phone (907) 361-5603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20241014002237 GA Practitioner - Optometry 0345614756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare One Martinez LLCGroup PAC ID 2163430679, 3 clinicians

Practice addresses (Care Compare)

510 N Belair Rd
Evans, GA 30809-3105
Phone (706) 863-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare One Martinez LLC Optometrist CurrentSince Jul 19, 2024 Accepting new patients
Eye Guys Optometrist PastSince Jan 20, 2023 Accepting new patients

Locations

510 N Belair Rd
Evans, GA 30809
Phone (706) 863-3030

Organizations & group practices 2

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1255711644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BASSETT ARMY COMMUNITY HOSPITAL",
            "address_2": "1060 GAFFNEY RD #7440",
            "city": "FT. WAINWRIGHT",
            "state": "AK",
            "postal_code": "99703",
            "telephone_number": "907-361-5603",
            "fax_number": "907-361-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N BELAIR RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093105",
            "telephone_number": "706-863-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "KELLY",
        "middle_name": "BAIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.