Richard E Kellogg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001192 Issued in WA

Practice address

126 N Washington
Eye Care Team
Spokane, WA 99201-0252

Phone

(509) 747-6581

Fax

(509) 747-6354

NPI assigned

Dec 29, 2005

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in WA

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

Southern California College of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington Eye Care Center PCGroup PAC ID 4385946839, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Washington Eye Care Center PC

  dba The Eye Care Team

  • Optometrist
  • Spokane, WA
  • NPI 1871967042
  Medicare reassignment Care Compare group NPD
• Eye Care Team Inc

  • Optometrist
  • Spokane, WA
  • NPI 1487631370
  NPD (past) Authorized official

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871570028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N WASHINGTON",
            "address_2": "EYE CARE TEAM",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010252",
            "telephone_number": "509-747-6581",
            "fax_number": "509-747-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N WASHINGTON",
            "address_2": "EYE CARE TEAM",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010252",
            "telephone_number": "509-747-6581",
            "fax_number": "509-747-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2035202",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE",
            "identifier": "OD00001192",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Elaine Kelley, DPT
• Emily Jewel Kellogg
• Glenn Kellogg, MD
• Kortney Kellogg, PHARMD
• Pamela Kellogg
• Susan Kellogg, RPH
• Betty Jane Kellum
• Kelly a. Hennessey D.D.S., PLLC (Manito Family Dentistry)
• Kelly Ebels Counseling PLLC (Kelly Ebels Counseling)
• Ashana Kelly

• Optometrist in Spokane, WA
• Providers in Spokane, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.