Individual provider Active NPI

Kelly Rowe, OD

  • Optometrist
  • Logan, OH
National Provider Identifier
1447147400
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007390 Issued in OH
Practice address
30652 Red Rock CT
Logan, OH 43138-9670
Phone
(740) 385-4006
Fax
(740) 385-4043
NPI assigned
Jun 23, 2025
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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.007390 OH Primary

Addresses

Primary practice location

30652 Red Rock CT
Logan, OH 43138-9670

Mailing address

30652 Red Rock CT
Logan, OH 43138-9670

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250804001257 OH Practitioner - Optometry 3375051188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buckeye Vision Care IncGroup PAC ID 5799780763, 4 clinicians

Practice addresses (Care Compare)

30652 Red Rock CT
Logan, OH 43138-9670
Phone (740) 385-4006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007390OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Vision Care Inc. Optometrist CurrentSince Aug 1, 2025 Accepting new patients

Locations

30652 Red Rock Ct
Logan, OH 43138
Phone (740) 385-4006

Organizations & group practices 1

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1447147400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30652 RED ROCK CT",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389670",
            "fax_number": "740-385-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30652 RED ROCK CT",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389670",
            "telephone_number": "740-385-4006",
            "fax_number": "740-385-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "KELLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.