Amy R Keller, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5123 Issued in OH

Practice address

5081 N Hamilton Rd
Columbus, OH 43230-8001

Phone

(614) 473-9899

Fax

(614) 473-9906

NPI assigned

Aug 11, 2005

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

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, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Central Ohio Vision and Eyecare, LLCGroup PAC ID 4385996842, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amykeller@direct.eyecare-partners.com

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.

• Central Ohio Vision and Eyecare, LLC

  • Optometrist
  • New Albany, OH
  • NPI 1891276507
  Medicare reassignment Care Compare group NPD
• Clarkson Optometry Midwest Inc

  • Optometrist
  • Centerville, OH
  • NPI 1073917597
  Medicare reassignment
• Clarkson Optometry Midwest Inc

  • Optometrist
  • Medina, OH
  • NPI 1114507951
  NPD

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1861494643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5081 N HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432308001",
            "telephone_number": "174-739-8996",
            "fax_number": "614-473-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5081 N HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432308001",
            "telephone_number": "614-473-9899",
            "fax_number": "614-473-9906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6472 Winchester Blvd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431102004",
            "country_code": "US",
            "telephone_number": "614-837-9595",
            "fax_number": "614-837-8205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Stone Trail Dr",
            "address_purpose": "LOCATION",
            "city": "Blacklick",
            "state": "OH",
            "postal_code": "43004",
            "country_code": "US",
            "telephone_number": "614-722-4076",
            "fax_number": "614-722-4083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "AMY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2492404",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Kelleher, M.S. CCC-SLP
• Adelle Keller
• Allen Ray Keller, R.PH.
• Amanda Keller
• Amy Keller, LISW
• Brian Christopher Keller, M.D., PH.D.
• Jamie Lynn Keller, M.D.
• Kathryn Keller, MSW, LISW - S
• Kelly C. Keller, APRN-CNP
• Kevin Keller II, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.