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KELLEY LYNN DEAK O.D.
NPI 1184728123
Optometrist in Columbus, IN

Active since September 11, 2006PECOS Enrolled
1980 N NATIONAL RD STE 300, COLUMBUS, IN 47201(317) 202-1438(317) 202-1280 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2024, Aug 6, 2022, Oct 17, 2016 and 1 more (4 updates tracked since 2016).

About Kelley Lynn Deak O.d. NPPES

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

KELLEY LYNN DEAK O.D. (NPI 1184728123) is an individual optometrist in Columbus, Indiana, licensed in Indiana (18002969A) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184728123
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKELLEY LYNN DEAKCredential: O.D.
Location Address1980 N NATIONAL RD STE 300Columbus, IN 47201-4505
Mailing Address1980 N National Rd Ste 300Columbus, IN 47201-4505 · (317) 202-1438 · Fax (317) 202-1280
Phone(317) 202-1438
Fax(317) 202-1280
Sole ProprietorNo
Enumeration DateSeptember 11, 2006
Last NPPES UpdateFebruary 10, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
✔ NPI 1184728123 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 IN · 18002969A
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.
1980 N NATIONAL RD STE 300, Columbus, IN 47201
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Other Names 1

Former Name (1)Kelley Lynn Douglas O.d.

Other Identifiers 2

Medicaid201006850IN
OtherA00845IN · Eyemed

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 Blue Shield of Wyoming 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)

Kelley Lynn Deak 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 Reassignments

3

Medicare enrollment records show Kelley Deak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Seymour Eye Clinic LLC
15 mi
Optometrist
300 W 2ND ST
Seymour, IN 47274
  • Reassigned Medicare billing, Indiana enrollment
  • 4 clinicians in this Medicare group
NPI 1730165267 (812) 523-6100
Precision Eye Group P.C.
42 mi
Optometrist
3343 MICHAEL AVE
Bedford, IN 47421
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Precision Eye Group PC
  • 11 clinicians in this Medicare group
NPI 1558523886 (812) 332-2020
Wilson Eyecare Professionals PC
43 mi
Optometrist
400 W GREEN MEADOWS DR, SUITE 108
Greenfield, IN 46140
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Wilson Eyecare Professionals, P.C.
  • 3 clinicians in this Medicare group
NPI 1669755575 (317) 477-3937

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 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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
149 services134 patients
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.
146 services146 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
66 services66 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services41 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47201 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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 Kelley Deak's NPI number?

The NPI number for Kelley Deak is 1184728123. It was assigned to this individual provider in the NPPES registry on September 11, 2006. The provider is also known as Kelley Lynn Douglas O.D..

Where is Kelley Deak located?

Kelley Deak practices at 1980 N National Rd Ste 300, Columbus, IN 47201. The listed phone number is (317) 202-1438.

What is Kelley Deak's specialty?

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

Is Kelley Deak enrolled in Medicare?

Yes. Kelley Deak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelley Deak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Deak reassigns Medicare benefits to 3 organizations: Seymour Eye Clinic LLC (Seymour, IN), Precision Eye Group P.C. (Bedford, IN) and Wilson Eyecare Professionals PC (Greenfield, IN). Each 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 Kelley Deak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelley Deak accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and CareSource list Kelley Deak 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 Kelley Deak was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.