Kelly Joy Soults, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

IA02283 Issued in IA

Practice address

1250 NW 128TH St Ste 150
Clive, IA 50325-7433

Phone

(515) 223-9595

Fax

(515) 223-9795

NPI assigned

Jan 20, 2006

Last updated

Sep 15, 2023By the provider in NPPES

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 names 1

• Kelly Joy Nelson Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

University of Missouri St Louis - School of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Soults Family Eyecare PLLCGroup PAC ID 0840695011, 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.

• Soults Family Eyecare P.L.L.C.

  dba Heartland Family Eyecare

  • Optometrist
  • Clive, IA
  • NPI 1942872205
  Medicare reassignment Care Compare group NPD Authorized official
• Invision Eye Care, PLLC

  • Optometrist
  • Clive, IA
  • NPI 1922813252
  NPD

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1932189354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NW 128TH ST STE 150",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257433",
            "telephone_number": "515-223-9595",
            "fax_number": "515-223-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NW 128TH ST STE 150",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257433",
            "telephone_number": "515-223-9595",
            "fax_number": "515-223-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULTS",
        "first_name": "KELLY",
        "middle_name": "JOY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "IA02283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "NELSON",
            "middle_name": "JOY",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jane A Snodgrass, O.D.
• Kevin R Snodgrass, O.D.
• Soma, LLC (SOMA Cosmetic Surgery & Aesthetics)
• Cody Soulinthavong
• Soults Family Eyecare P.L.L.C. (Heartland Family Eyecare)
• Spanish Communication Services LLC
• Spectrum Prosthetics & Orthotics, Inc
• SRG Counseling and Assessment Services, LLC
• Keith Staley, OT
• Wesley Adam Starlin, LMHC

• Optometrist in Clive, IA
• Providers in Clive, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.