Individual provider Active NPI

Kelly J McLain, OD

  • Optometrist
  • Alma, NE
National Provider Identifier
1487063863
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1494 Issued in NE
Practice address
610 Main St
Alma, NE 68920-2165
Phone
(308) 928-2187
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 Main St
Alma, NE 68920-2165
Phone 30892821872165

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery64

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20190110003107 NE Practitioner - Optometry 6608190301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha LLC CurrentSince Oct 18, 2021 Accepting new patients
Holdrege Family Vision Clinic PC Optometrist Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4976 FL
Optometrist 152W00000X 1494 NE Primary

Addresses

NPPES NPI Registry

Primary practice location

610 Main St
Alma, NE 68920-2165

Mailing address

PO Box 777
Alma, NE 68920
Phone (308) 928-2187

Other practice location 1

503 McMillan St
Holdrege, NE 68949-2052
Phone (308) 995-8697

Other practice location 2

610 Main St
Alma, NE 68920-2165
Phone (308) 928-2187

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 3, 2021.

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1487063863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "ALMA",
            "state": "NE",
            "postal_code": "68920",
            "telephone_number": "308-928-2187",
            "fax_number": "308-928-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MAIN ST",
            "city": "ALMA",
            "state": "NE",
            "postal_code": "689202165",
            "telephone_number": "308-928-2187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 McMillan St",
            "address_purpose": "LOCATION",
            "city": "Holdrege",
            "state": "NE",
            "postal_code": "689492052",
            "country_code": "US",
            "telephone_number": "308-995-8697",
            "fax_number": "308-995-6931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Main St",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "NE",
            "postal_code": "689202165",
            "country_code": "US",
            "telephone_number": "308-928-2187",
            "fax_number": "308-928-2466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4976",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, NE

Sources for this page

Verify at the official NPI Registry.