Kelsea Diane Naylor, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6486 Issued in OH

Practice address

113 N Lisbon St
Carrollton, OH 44615-1327

Phone

(330) 627-2430

Fax

(330) 627-5681

NPI assigned

Jun 6, 2016

Last updated

Jan 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Fair Vision IncGroup PAC ID 9234255266, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fair Vision Inc

  dba Carrollton Family Vision

  • Optometrist
  • Carrollton, OH
  • NPI 1336153196
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1780033217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N LISBON ST",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446151327",
            "telephone_number": "330-627-2430",
            "fax_number": "330-627-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N LISBON ST",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446151327",
            "telephone_number": "330-627-2430",
            "fax_number": "330-627-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "KELSEA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171174",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Miller, PCC, LSW, LCDCIII
• Robert F Miller, PHD
• Judy Arlene Mitzel, L.P.N.
• Ashton Mullett-Moon, DPT
• Lowell B Myers II, D.C.
• Ocal Solutions
• Kathleen Ruth Okey, RN
• Cynthia Olivito
• Orrville Hospital Foundation (Aultman Orrville Carrollton Health Center)
• Orrville Hospital Foundation (Aultman Orrville Carrollton Schools Health Center)

• Optometrist in Carrollton, OH
• Providers in Carrollton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.