Individual provider Active NPI

Kelli Price Mulhern, O.D.

  • Optometrist
  • Chillicothe, OH
National Provider Identifier
1659369809
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH5089 Issued in OH
Practice address
77 W Main St
Chillicothe, OH 45601-3104
Phone
(740) 773-8055
Fax
(740) 773-8057
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OH5089 OH Primary

Addresses

Primary practice location

77 W Main St
Chillicothe, OH 45601-3104

Mailing address

77 W Main St
Chillicothe, OH 45601-3104
Phone (740) 773-8055

Other identifiers 1

IdentifierTypeStateIssuer
2196421MedicaidOH

Other names 1

  • Mrs. Kelli Price Chawla Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060627000348 OH Practitioner - Optometry 8628080116 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

77 W Main St
Chillicothe, OH 45601-3104
Phone (740) 773-8055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5089OHMDClinical Neuropsychologist
OH5089OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Mar 17, 2025 Accepting new patients
Eye Specialist Inc Optometrist CurrentSince Mar 17, 2025 Accepting new patients
Price Family Eyecare Professionals, LLC Optometrist CurrentSince Dec 5, 2007 Accepting new patients
Eye Specialist Inc Optometrist CurrentSince Mar 17, 2025 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Mar 17, 2025 Accepting new patients
Eye Specialist Inc Optometrist Current Accepting new patients

Locations

77 W Main St
Chillicothe, OH 45601
Phone (740) 773-8055

50 N Plaza Blvd
Chillicothe, OH 45601
Phone (740) 774-4434

155 E Circle Ln
Circleville, OH 43113
Phone (740) 477-7200

3989 Jackpot Rd
Grove City, OH 43123
Phone (614) 801-9111

676 E Main St
Lancaster, OH 43130
Phone (740) 477-7200

135 W 6th Ave
Lancaster, OH 43130
Phone (740) 654-4762

1400 Gay St
Portsmouth, OH 45662
Phone (740) 351-0999

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

414 W Emmitt Ave
Waverly, OH 45690
Phone (740) 947-8191

307 E Emmitt Ave
Waverly, OH 45690
Phone (740) 941-3937

721 W Main St
Wilmington, OH 45177
Phone (937) 382-7724

420 E Court St
Wshngtn Ct Hs, OH 43160
Phone (740) 335-6401

Organizations & group practices 6

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1659369809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W MAIN ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013104",
            "telephone_number": "740-773-8055",
            "fax_number": "740-773-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W MAIN ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013104",
            "telephone_number": "740-773-8055",
            "fax_number": "740-773-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHERN",
        "first_name": "KELLI",
        "middle_name": "PRICE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH5089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2196421",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "CHAWLA",
            "middle_name": "PRICE",
            "prefix": "MRS.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.