KELLIE LONDON
NPI 1134710932
Optometrist in South Lake Tahoe, CA
About Kellie London NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE LONDON (NPI 1134710932) is an individual optometrist in South Lake Tahoe, California, licensed in California (34770) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kellie London is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH LAKE TAHOE, CA 96150
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 Kellie London's NPI number?
The NPI number for Kellie London is 1134710932. It was assigned to this individual provider in the NPPES registry on February 3, 2021.
Where is Kellie London located?
Kellie London practices at 3637 Larch Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 544-3403.
What is Kellie London's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kellie London enrolled in Medicare?
Yes. Kellie London is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kellie London accept?
Health plans from Providence Health Plan list Kellie London 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 Kellie London was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kellie London · NPI 1134710932
Optometrist provider in South Lake Tahoe, California. Individual provider, active in the CMS NPPES registry since February 3, 2021.
## Identity
- **NPI:** 1134710932 (Entity type: Individual)
- **Enumerated:** February 3, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34770 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3637 LARCH AVE, South Lake Tahoe, CA 96150-7481
- **Phone:** (530) 544-3403
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Southern College Of Optometry, class of 2020
## Record status
- **NPPES last updated:** February 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1134710932) · Data from the CMS NPPES public registry.