Kelly L Kesti, O.D.
Individual provider Active NPI Optometrist · Calumet, MI
NPI 1801104153 · NPPES record last updated Jul 6, 2012
Key facts
- NPI
- 1801104153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901004670 (MI)
- Practice address
- 56901 S 6TH St
Ste. 1
Calumet, MI 49913-2946 - Phone
- (906) 337-5252
- Fax
- (906) 337-5254
- NPI assigned
- Sep 21, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
-
Donald W Mitchell, O.D.
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Seals Tacia and Bartz OD PC
Practice addresses (Care Compare)
25720 Copper King Way
Insight Optics
Calumet, MI 49913-2557
Phone (906) 337-5252
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 52 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111216000195 | MI | Practitioner - Optometry | 3779758925 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seals Tacia & Bartz OD PC | Optometrist | Current |
Accepting new patients |
| Bayview Vision Clinic | Optometrist | Past | Accepting new patients |
Locations
25720 Copper King Way
Calumet, MI 49913
Phone (906) 337-5252
56901 S 6th St
Ste 1
Calumet, MI 49913
Phone (906) 337-5252
Interoperability endpoints
- kkesti@insighteyecare.direct.eyemdemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004670 | MI | Yes |
| Optometrist | 152W00000X | 3201 | WI |
Addresses
Primary practice location
56901 S 6TH St
Ste. 1
Calumet, MI 49913-2946
Mailing address
56901 S 6TH St
Ste. 1
Calumet, MI 49913-2946
Phone (906) 337-5252
Other providers in Calumet, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.