Kaelyn Adams, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

I3-0011468 Issued in DE

Practice address

1237 Quintilio Dr
Bear, DE 19701-6005

Phone

(302) 838-0800

NPI assigned

Jul 6, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

University of the Incarnate Word School of Osteo Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shyu Eye Care LLC 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Shyu Eye Care LLC

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1487228334

  DE

  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Delaware PA

  • Optometrist
  • Dover, DE
  • NPI 1215306055

  DE, Optometrist

  Medicare reassignment NPD
• Myeyedr Optometry of Delaware PA

  • Optometrist
  • Milford, DE
  • NPI 1144699893
  NPD
• Myeyedr Optometry of Delaware PA

  • Optometrist
  • New Castle, DE
  • NPI 1588463632
  NPD
• Middletown Eye Care PA

  • Optometrist
  • Middletown, DE
  • NPI 1518998103
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1619600798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 QUINTILIO DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197016005",
            "telephone_number": "302-838-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KAELYN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-02-02",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003919",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0011468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 2Mpact Services, LLC
• Rany Talal Abdallah, MD, PHD, MBA
• Sarah Njah Aboagye, PMHNP
• Acme Markets Inc
• Gregory David Adams, M.D.
• Victoria Michelle Adams, COTA
• Angela Joan Addison, PHARMD
• Ruth Addison, MSN, RN
• Nancy Adler
• Nicole Adler

• All providers in Bear, DE
• Optometrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.