Kelly Van Cleave, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8944T Issued in TX

Practice address

2801 E 29TH St
Bryan, TX 77802-2618

Phone

(979) 776-7564

NPI assigned

Aug 2, 2016

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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 Houston - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WHM Eye Associates, P.a.Group PAC ID 2264575398, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

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.

• WHM Eye Associates, P.a.

  • Ophthalmology Physician
  • College Station, TX
  • NPI 1114069580
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1639622186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022618",
            "telephone_number": "979-776-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN CLEAVE",
        "first_name": "KELLY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8944T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drvancleave@marreye.imwdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "3030 University Dr E Ste 100",
            "city": "College Station",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778456147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Randa Sue Vajdak, PA-C
• Mark Andrew Valasek, MD PHD
• Olga Lydia Valdez
• Belinda Valenzuela, LPC-ASSOCIATE
• Miraflor Valino-Pak, PT
• Kasey Van Norman, MA, LPC-A, LCDC, CTS
• Laura Van Ravenswaay
• Daniel R Vanlaningham, O.D.
• Tyler Varner
• Kyle Varvel, M.D.

• Optometrist in Bryan, TX
• Providers in Bryan, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.