Kelli Bruce, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2347DT Issued in KY

Practice address

59 Carothers Rd
Newport, KY 41071-2415

Phone

(859) 491-1010

NPI assigned

Jul 7, 2023

Last updated

Jul 7, 2023By the provider in NPPES

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 KY

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

Indiana University - School of Optometry, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Opticare Vision Centers, LLCGroup PAC ID 5698029338, 6 clinicians

DRS Cooke, Landon and Sellers Optometrist, P.S.CGroup PAC ID 5193744316, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Cooke, Landon & Sellers, Optometrist, P.S.C

  dba Opticare Vision Center

  • Optometrist
  • Newport, KY
  • NPI 1699837427
  Medicare reassignment Care Compare group NPD
• Opticare Vision Centers, LLC

  • Optometrist
  • Ft Mitchell, KY
  • NPI 1326541863
  Medicare reassignment Care Compare group NPD
• Julie Metzger OD PSC

  • Optometrist
  • Florence, KY
  • NPI 1548301492
  NPD (past)

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1457039737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CAROTHERS RD",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712415",
            "telephone_number": "859-491-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CAROTHERS RD",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712415",
            "telephone_number": "859-491-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "KELLI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2347DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Braxton
• John Brewer, MD
• Johnson Preetham Britto, M.D.
• Charles Nicholas Brown, LPCC
• Tyler William Browning, M.D.
• Buc Newport LLC
• Maureen Anne Burns, APRN
• Christopher Bush
• Alaina Renee Camblin, PHARMD
• Daniel Carver

• Optometrist in Newport, KY
• Providers in Newport, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.
• 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.