DR. KELLY M. KEANE O.D.
NPI 1326480476
Optometrist in San Diego, CA

Q: What is Kelly Keane's NPI number?

The NPI number for Kelly Keane is 1326480476. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Q: What is Kelly Keane's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Keane was last updated on July 24, 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.

Active since July 17, 2013PECOS Enrolled

5680 BALBOA AVE, SAN DIEGO, CA 92111(858) 278-2837 Get Directions Write a Review

NPPES record last updated: July 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2021, Jun 15, 2020, Aug 9, 2017 (3 updates tracked since 2017).

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About Dr. Kelly M. Keane O.d. NPPES

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

DR. KELLY M. KEANE O.D. (NPI 1326480476) is an individual optometrist in San Diego, California, licensed in California (15197) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326480476

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. KELLY M. KEANECredential: O.D.

Location Address5680 BALBOA AVESan Diego, CA 92111-2706

Mailing Address4203 Genesee Ave Suite 103, Pmb 436San Diego, CA 92117-4953 · (973) 557-5521

Phone(858) 278-2837

Sole ProprietorYes

Enumeration DateJuly 17, 2013

Last NPPES UpdateJuly 24, 20213 updates tracked since enumeration

NPPES CertifiedJuly 24, 2021

✔ NPI 1326480476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in CA · 15197✔ Licensed in IL · 046010706

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.

5680 BALBOA AVE, San Diego, CA 92111

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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. Kelly M. Keane 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92111 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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 9

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

MERIAH BACON PHARMD, RPH

Pharmacist