Individual provider Active NPI

Chase Keller, OD

  • Optometrist
  • Washington, IN
National Provider Identifier
1598699985
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004678A Issued in IN
Practice address
1209 S State Road 57
Washington, IN 47501-4367
Phone
(812) 254-0990
Fax
(812) 254-7730
NPI assigned
Jun 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 18004678A IN Primary

Addresses

Primary practice location

1209 S State Road 57
Washington, IN 47501-4367

Mailing address

1209 S State Road 57
Washington, IN 47501-4367
Phone (812) 254-0990

Other practice location 1

120 Main St
Vincennes, IN 47591-1234
Phone (812) 255-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20260620000086 IN Practitioner - Optometry 4486127594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Image Eye Center LLCGroup PAC ID 6507165065, 3 clinicians

Practice addresses (Care Compare)

1209 S State Rd
Suite 57
Washington, IN 47501-4367
Phone (812) 254-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1598699985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 S STATE ROAD 57",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014367",
            "telephone_number": "812-254-0990",
            "fax_number": "812-254-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 S STATE ROAD 57",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014367",
            "telephone_number": "812-254-0990",
            "fax_number": "812-254-7730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Main St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911234",
            "country_code": "US",
            "telephone_number": "812-255-3003",
            "fax_number": "812-255-5449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "CHASE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004678A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.