DR. EASTON CLINT KELSEY O.D.
NPI 1063470466
Optometrist in Ogden, UT

Q: What is Easton Kelsey's NPI number?

The NPI number for Easton Kelsey is 1063470466. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Easton Kelsey's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Easton Kelsey was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 03, 2006PECOS Enrolled

3651 WALL AVE STE 1226, OGDEN, UT 84405(480) 732-9040 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Easton Clint Kelsey O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EASTON CLINT KELSEY O.D. (NPI 1063470466) is an individual optometrist in Ogden, Utah, licensed in Utah (11008385-9934) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063470466

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. EASTON CLINT KELSEYCredential: O.D.

Location Address3651 WALL AVE STE 1226Ogden, UT 84405-2007

Mailing Address4907 S 1750 W, 5Roy, UT 84067 · (480) 204-9122

Phone(480) 732-9040

Sole ProprietorNo

Enumeration DateMay 3, 2006

Last NPPES UpdateJune 27, 2023

NPPES CertifiedJune 14, 2023

✔ NPI 1063470466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in UT · 11008385-9934

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

3651 WALL AVE STE 1226, Ogden, UT 84405

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Other Identifiers 1

Medicaid8909164NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Easton Clint Kelsey O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Easton Kelsey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ion Vision PLLC

39 mi

Optometrist

6191 S STATE ST STE 301
Murray, UT 84107

Reassigned Medicare billing, Utah enrollment
17 clinicians in this Medicare group

NPI 1376099432 (801) 268-0408

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB LAMBERTSON OD

Optometrist

3651 WALL AVE STE 1226
OGDEN, UT 84405

Weber County (801) 901-3346

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Easton Kelsey's NPI number?

The NPI number for Easton Kelsey is 1063470466. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Easton Kelsey located?

Easton Kelsey practices at 3651 Wall Ave Ste 1226, Ogden, UT 84405. The listed phone number is (480) 732-9040.

What is Easton Kelsey's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Easton Kelsey enrolled in Medicare?

Yes. Easton Kelsey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Easton Kelsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Easton Kelsey reassigns Medicare benefits to Ion Vision PLLC (Murray, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Easton Kelsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Easton Kelsey accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Easton Kelsey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Easton Kelsey was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.