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DR. KYLE W KELLY OD
NPI 1144221672
Optometrist in Leavenworth, KS

Active since August 09, 2005PECOS Enrolled
2301 10TH AVE, LEAVENWORTH, KS 66048(913) 682-2929(913) 682-2999 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kyle W Kelly Od NPPES

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

DR. KYLE W KELLY OD (NPI 1144221672) is an individual optometrist in Leavenworth, Kansas, licensed in Kansas (1309-3) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144221672
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KYLE W KELLYCredential: OD
Location Address2301 10TH AVELeavenworth, KS 66048-4214
Mailing Address2301 10th AveLeavenworth, KS 66048-4214 · (913) 682-2929 · Fax (913) 682-2999
Phone(913) 682-2929
Fax(913) 682-2999
Sole ProprietorNo
Enumeration DateAugust 9, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144221672 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 KS · 1309-3
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.
2301 10TH AVE, Leavenworth, KS 66048
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Other Identifiers 3

Medicaid1002187108KS
Medicare UPINT91588
Medicare ID-Type Unspecified650714KS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyle W Kelly Od 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66048 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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 7

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

DR. MARK S NORRIS OD
Optometrist
2301 10TH AVE
LEAVENWORTH, KS 66048
Leavenworth County (913) 682-2929
NORRIS AND KELLY, P.A.
Optometrist
2301 10TH AVE
LEAVENWORTH, KS 66048
Leavenworth County (913) 682-2929
ALISHA O'SHEA O.D
Optometrist
2301 10TH AVE
LEAVENWORTH, KS 66048
Leavenworth County (913) 682-2929
DR. ASHLEY SCHUELKE REDDELL O.D.
Optometrist
2301 10TH AVE
LEAVENWORTH, KS 66048
Leavenworth County (913) 682-2929
DR. KATHERINE GUNN OD
Optometrist
2301 10TH AVE
LEAVENWORTH, KS 66048
Leavenworth County (913) 682-2929
JOSHUA ALLAN RUSSELL OD
Optometrist
2301 10TH AVE
LEAVENWORTH, KS 66048
Leavenworth County (913) 682-2929
JONATHAN REDDELL O.D.
Optometrist
2301 10TH AVE
LEAVENWORTH, KS 66048
Leavenworth County (913) 682-2929

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 Kyle Kelly's NPI number?

The NPI number for Kyle Kelly is 1144221672. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Kyle Kelly located?

Kyle Kelly practices at 2301 10th Ave, Leavenworth, KS 66048. The listed phone number is (913) 682-2929.

What is Kyle Kelly's specialty?

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

Is Kyle Kelly enrolled in Medicare?

Yes. Kyle Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.