Individual provider Active NPI

Kayli Nicole Dennis, OD

  • Optometrist
  • Westerville, OH
National Provider Identifier
1457917023
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006740 Issued in OH
Practice address
50 E Schrock Rd
Westerville, OH 43081-2915
Phone
(614) 948-4448
NPI assigned
May 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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.006740 OH Primary

Addresses

Primary practice location

50 E Schrock Rd
Westerville, OH 43081-2915

Mailing address

7077 Duncans Glen Dr
Westerville, OH 43082-9200
Phone (614) 506-4586

Other practice location 1

8659 Columbus Pike
Lewis Center, OH 43035-9699
Phone (740) 657-1301

Other practice location 2

5200 Westpointe Plaza Dr
Columbus, OH 43228-9126
Phone (614) 876-6747

Other practice location 3

1546 Marion Mount Gilead Rd
Marion, OH 43302-5820
Phone (740) 389-5339

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
I20200131001883 OH Practitioner - Optometry 3476989997 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Central Ohio Vision and Eyecare, LLCGroup PAC ID 4385996842, 3 clinicians

Practice addresses (Care Compare)

6772 New Albany Condit Rd
New Albany, OH 43054-9733
Phone (614) 933-0575

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.006740OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Management Group LLC Optometrist CurrentSince Jul 20, 2022 Accepting new patients
Central Ohio Vision and Eyecare, LLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Fries Eye Care, LLC Optometrist CurrentSince Dec 1, 2019 Accepting new patients
Fries Eye Care, LLC Optometrist Current Accepting new patients

Locations

3959 Hoover Rd
Grove City, OH 43123
Phone (614) 875-8373

6772 New Albany Condit Rd
New Albany, OH 43054
Phone (614) 933-0575

265 N Liberty St
Powell, OH 43065
Phone (614) 793-0700

1018 Cheyenne Ave
Springfield, OH 45503
Phone (937) 399-0282

1050 Washington Ave
Washington Court House, OH 43160
Phone (740) 335-1025

207 S Glenn Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-5501

Organizations & group practices 4

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": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1457917023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7077 DUNCANS GLEN DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829200",
            "telephone_number": "614-506-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E SCHROCK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812915",
            "telephone_number": "614-948-4448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8659 Columbus Pike",
            "address_purpose": "LOCATION",
            "city": "Lewis Center",
            "state": "OH",
            "postal_code": "430359699",
            "country_code": "US",
            "telephone_number": "740-657-1301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Westpointe Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432289126",
            "country_code": "US",
            "telephone_number": "614-876-6747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1546 Marion Mount Gilead Rd",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433025820",
            "country_code": "US",
            "telephone_number": "740-389-5339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "KAYLI",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-19",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.