DR. KELLY MINNICH O.D.
NPI 1639404296
Optometrist in Lenexa, KS

Active since October 14, 2009PECOS Enrolled
9220 BOEHM DR, LENEXA, KS 66219(612) 250-7355 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly Minnich O.d. NPPES

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

DR. KELLY MINNICH O.D. (NPI 1639404296) is an individual optometrist in Lenexa, Kansas, licensed in Minnesota (3242) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639404296
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELLY MINNICHCredential: O.D.
Location Address9220 BOEHM DRLenexa, KS 66219-2198
Mailing Address9220 Boehm DrLenexa, KS 66219-2198 · (612) 250-7355
Sole ProprietorNo
Enumeration DateOctober 14, 2009
Last NPPES UpdateJuly 22, 2011
NPI 1639404296 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 MN · 3242
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.
9220 BOEHM DR, Lenexa, KS 66219

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 Minnich 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 66219 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.

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 Kelly Minnich's NPI number?

The NPI number for Kelly Minnich is 1639404296. It was assigned to this individual provider in the NPPES registry on October 14, 2009.

Where is Kelly Minnich located?

Kelly Minnich practices at 9220 Boehm Dr, Lenexa, KS 66219. The listed phone number is (612) 250-7355.

What is Kelly Minnich's specialty?

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

Is Kelly Minnich enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Minnich was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.