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OPHTHALMOLOGY & OCULOPLASTIC SURGERY INC
NPI 1073713400
Ophthalmology in Chardon, OH

Active since July 24, 2007
150 7TH AVE, SUITE 100, CHARDON, OH 44024(440) 285-2020(440) 285-8448 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ophthalmology & Oculoplastic Surgery Inc NPPES

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

OPHTHALMOLOGY & OCULOPLASTIC SURGERY INC (NPI 1073713400), doing business as Kellis Eye And Laser Center, is a healthcare organization registered as an ophthalmology in Chardon, Ohio and active in the NPI registry since July 2007. The organization lists Candice Davis, Chief Revenue Cycle Officer, as its authorized official.

NPPES Registry Identity

NPI1073713400
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameOPHTHALMOLOGY & OCULOPLASTIC SURGERY INC
Location Address150 7TH AVE, SUITE 100Chardon, OH 44024-2908
Mailing Address150 7th Ave Ste 100Chardon, OH 44024-2909 · (440) 285-2020 · Fax (440) 285-8448
Phone(440) 285-2020
Fax(440) 285-8448
Organization SubpartNo
Authorized OfficialCandice DavisChief Revenue Cycle Officer · (916) 990-7590
Enumeration DateJuly 24, 2007
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1073713400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OH · 35060480
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X · License 5012T188 (OH)
150 7TH AVE, Chardon, OH 44024
Open in Google Maps ↗

Other Names 1

Doing Business AsKellis Eye And Laser Center

Other Identifiers 2

OtherCG4745OH · Railroad Medicare
Medicaid2841689OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ophthalmology & Oculoplastic Surgery Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Ophthalmology & Oculoplastic Surgery Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Kylie Hess, OD
Optometry
NPI 1427841949
150 7TH AVE STE 100
Chardon, OH 44024
(440) 285-2020
✔ PECOS✔ Accepts MedicareSame address
Gene Johnson, M.D.
Ophthalmology
NPI 1396950184
150 SEVENTH AVE SUITE 100
Chardon, OH 44024
(440) 285-2020
✔ PECOS✔ Accepts MedicareSame address
Augustine Kellis, M.D.
Ophthalmology
NPI 1437193828
150 7TH AVE SUITE 100
Chardon, OH 44024
(440) 285-2020
✔ PECOS✔ Accepts MedicareSame address
John Langel, O.D.
Optometry
NPI 1821449406
150 7TH AVE STE 100
Chardon, OH 44024
(440) 285-2020
✔ PECOS✔ Accepts MedicareSame address
Mark Prendes, M.D.
Ophthalmology
NPI 1073874954
150 7TH AVE STE 100
Chardon, OH 44024
(440) 285-2020
✔ PECOS✔ Accepts MedicareSame address

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

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Maple Leaf Optical carries, from the Medicare DMEPOS supplier directory.

Maple Leaf Optical

DMEPOS supplier · Chardon, OHOperated by Ophthalmology And Oculoplastic Surgery, LLC
✔

Accepts Medicare assignment

Maple Leaf Optical agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20629661
Medicare Participant SinceFebruary 17, 2000
Supplier Location150 7th Ave Ste 100Chardon, OH 44024
Phone(440) 285-2020
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Ophthalmology & Oculoplastic Surgery Inc's NPI number?

The NPI number for Ophthalmology & Oculoplastic Surgery Inc is 1073713400. It was assigned to this organization in the NPPES registry on July 24, 2007. The provider is doing business as Kellis Eye and Laser Center.

Where is Ophthalmology & Oculoplastic Surgery Inc located?

Ophthalmology & Oculoplastic Surgery Inc is located at 150 7th Ave Suite 100, Chardon, OH 44024. The listed phone number is (440) 285-2020.

What is Ophthalmology & Oculoplastic Surgery Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ophthalmology & Oculoplastic Surgery Inc enrolled in Medicare?

Yes. Ophthalmology & Oculoplastic Surgery Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ophthalmology & Oculoplastic Surgery Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Ophthalmology & Oculoplastic Surgery Inc. A 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 the clinician's services. The largest specialties are Ophthalmology (3) and Optometry (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ophthalmology & Oculoplastic Surgery Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Maple Leaf Optical accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Ophthalmology & Oculoplastic Surgery Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Ophthalmology & Oculoplastic Surgery Inc 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 Ophthalmology & Oculoplastic Surgery Inc was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.