Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Ophthalmology & Oculoplastic Surgery Inc's specialty?

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

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: August 02, 2026.

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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

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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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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.

Other Providers at the Same Location NPPES 9

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

DANIEL J ZINNA P.T.

Physical Therapist

150 7TH AVE, SUITE 200
CHARDON, OH 44024

Geauga County (440) 285-4999

MR. PATRICK W STARKEY LPT

Physical Therapist

150 7TH AVE, SUITE 200
CHARDON, OH 44024

Geauga County (440) 285-4999

COLLEEN ANN DUMM PT

Physical Therapist

150 7TH AVE
CHARDON, OH 44024

Geauga County (440) 285-4999

AMANDA DANIELLE ANGUS CRNA, PMHNP

Nurse Anesthetist, Certified Registered

150 7TH AVE
CHARDON, OH 44024

Geauga County (440) 285-2900

TUNDE A ILKANICH OT

Occupational Therapist

150 7TH AVE, SUITE 200
CHARDON, OH 44024

Geauga County (440) 285-4999

DR. AUGUSTINE J. KELLIS M.D.

Ophthalmology

150 7TH AVE, SUITE 100
CHARDON, OH 44024

Geauga County (440) 285-2020

UNIVERSITY PRIMARY CARE PRACTICES INC.

Prosthetic/Orthotic Supplier

150 7TH AVE
CHARDON, OH 44024

Geauga County (216) 383-0100

CHARLES EDDY SEACRIST III RN

Nurse Anesthetist, Certified Registered

150 7TH AVE
CHARDON, OH 44024

Geauga County (440) 285-2900

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.

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 Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield 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 58 days 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.