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LAUREL KELLEY OD
NPI 1396242533
Optometrist in Memphis, TN

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment
1245 MADISON AVE, MEMPHIS, TN 38104(901) 722-3250(901) 722-3388 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2022, Jun 27, 2018, Apr 12, 2018 (3 updates tracked since 2018).

About Laurel Kelley Od NPPES

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

LAUREL KELLEY OD (NPI 1396242533) is an individual optometrist in Memphis, Tennessee, licensed in Tennessee (3547) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2018).

NPPES Registry Identity

NPI1396242533
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLAUREL KELLEYCredential: OD
Location Address1245 MADISON AVEMemphis, TN 38104-2211
Mailing Address1245 Madison AveMemphis, TN 38104-2211 · (901) 722-3250 · Fax (901) 722-3388
Phone(901) 722-3250
Fax(901) 722-3388
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2018
Enumeration DateApril 12, 2018
Last NPPES UpdateOctober 5, 20223 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1396242533 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 TN · 3547✔ Licensed in IL · 046011193
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.
1245 MADISON AVE, Memphis, TN 38104
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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 and Blue Shield of Montana 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 and accepts Medicare assignment

Laurel Kelley Od 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.

PECOS PAC ID3779830898
PECOS Enrollment IDI20191122002662
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 Reassignment

Medicare enrollment records show Laurel Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern College Of Optometry
Same address
Optometrist
1225 MADISON AVE
Memphis, TN 38104
  • Reassigned Medicare billing, Tennessee enrollment
  • 94 clinicians in this Medicare group
NPI 1851384986 (901) 722-3250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 20

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

DR. AZALIA ROCHELLE ROACH OD
Optometrist
1245 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3200
MICHELLE WONG OD
Optometrist
1245 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3250
JOHN S SHARPE OD
Optometrist
1245 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3250
DR. MICHAEL T DORKOWSKI O.D.
Optometrist
1245 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3250
DR. KATLYN ADELE MARTIN OD
Optometrist
1245 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3200
DR. KAMIL ANNAN HILL OD, MS
Optometrist
1245 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3200
ABIGAIL KLICK OD
Optometrist
1245 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3250
YUEREN WANG OD
Optometrist (Corneal and Contact Management)
1245 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3200

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 Laurel Kelley's NPI number?

The NPI number for Laurel Kelley is 1396242533. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Laurel Kelley located?

Laurel Kelley practices at 1245 Madison Ave, Memphis, TN 38104. The listed phone number is (901) 722-3250.

What is Laurel Kelley's specialty?

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

Is Laurel Kelley enrolled in Medicare?

Yes. Laurel Kelley 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.

Which organization bills Medicare for Laurel Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laurel Kelley reassigns Medicare benefits to Southern College Of Optometry (Memphis, TN). The 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 Laurel Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laurel Kelley accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Laurel Kelley 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 Laurel Kelley was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.