Kelli Price, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5147 T2046 Issued in OH

Practice address

1201 Defiance St
Suite a
Wapakoneta, OH 45895-1059

Phone

(419) 738-2715

Fax

(419) 738-2815

NPI assigned

Sep 6, 2006

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

Other identifiers 2

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Auglaize Family Eye Care IncGroup PAC ID 8325192966, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.06 of 100Reported as group

Quality

66.12

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kelli.price@direct.revolutionehr.com

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.

• Auglaize Family Eye Care Inc

  • Optometrist
  • Wapakoneta, OH
  • NPI 1851535652
  Medicare reassignment Care Compare group
• John T Archer & Assoc Inc

  • Optometrist
  • Wapakoneta, OH
  • NPI 1154423952
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1477656338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 INDIAN HILL DR",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "45895",
            "telephone_number": "419-738-2715",
            "fax_number": "419-738-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 DEFIANCE ST",
            "address_2": "SUITE A",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951059",
            "telephone_number": "419-738-2715",
            "fax_number": "419-738-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KELLI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5147 T2046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2632753",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "04912",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Phillips, MASTERS DEGREE
• PKM: Life Transitions
• David L Plas, LPC & SLP
• Judith Poeppelman, COTA/L AND RN
• John M Price, O.D.
• Progress Professional Counseling Associates LLC
• PT Works of Wapakoneta Inc
• Elizabeth J Rammel, CNP
• Marissa K. Recker, CNP
• RG Ventures LLC (Prime Home Medical)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.