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DR. KELLIE JACLYN ROSS-CHAVEZ OD
NPI 1376907626
Optometrist in Vancouver, WA

Active since April 12, 2016PECOS Enrolled
19171 SE MILL PLAIN BLVD STE 101, VANCOUVER, WA 98683(360) 883-8889 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jul 27, 2017, Jun 22, 2017 (3 updates tracked since 2017).

About Dr. Kellie Jaclyn Ross-chavez Od NPPES

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

DR. KELLIE JACLYN ROSS-CHAVEZ OD (NPI 1376907626) is an individual optometrist in Vancouver, Washington, licensed in Washington (OD60758608) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Highland.

NPPES Registry Identity

NPI1376907626
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELLIE JACLYN ROSS-CHAVEZCredential: OD
Location Address19171 SE MILL PLAIN BLVD STE 101Vancouver, WA 98683-9321
Mailing Address1017 Se 12th Ave, Apt 204Battle Ground, WA 98604
Phone(360) 883-8889
Sole ProprietorYes
Enumeration DateApril 12, 2016
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1376907626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WA · OD60758608
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
19171 SE MILL PLAIN BLVD STE 101, Vancouver, WA 98683
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Secondary Practice Location 1

Location 129570 Water StHighland, CA 92346-3949 · Phone (909) 957-4279

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.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. Kellie Jaclyn Ross-chavez 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 98683 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 2

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

DR. JESSICA WALK O.D.
Optometrist
19171 SE MILL PLAIN BLVD STE 101
VANCOUVER, WA 98683
Clark County (360) 254-1026
PACIFIC EYE GROUP
Optometrist
19171 SE MILL PLAIN BLVD STE 101
VANCOUVER, WA 98683
Clark County (360) 883-8889

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 Ross-chavez's NPI number?

The NPI number for Kellie Ross-chavez is 1376907626. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Kellie Ross-chavez located?

Kellie Ross-chavez practices at 19171 SE Mill Plain Blvd Ste 101, Vancouver, WA 98683. The listed phone number is (360) 883-8889.

What is Kellie Ross-chavez's specialty?

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

Is Kellie Ross-chavez enrolled in Medicare?

Yes. Kellie Ross-chavez is registered in the Medicare PECOS enrollment system.

What insurance does Kellie Ross-chavez accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Kellie Ross-chavez 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 Ross-chavez was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.