DR. MICHAEL DAVID KELLEMAN O.D.
NPI 1669843462
Optometrist in Newington, CT

Q: What is Michael Kelleman's NPI number?

The NPI number for Michael Kelleman is 1669843462. It was assigned to this individual provider in the NPPES registry on October 19, 2015.

Q: What is Michael Kelleman'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 Michael Kelleman was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 19, 2015PECOS Enrolled

555 WILLARD AVE, EYE CLINIC, NEWINGTON, CT 06111(908) 812-4345 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2022, Dec 16, 2016 (2 updates tracked since 2016).

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About Dr. Michael David Kelleman O.d. NPPES

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

DR. MICHAEL DAVID KELLEMAN O.D. (NPI 1669843462) is an individual optometrist in Newington, Connecticut, licensed in Connecticut (2965) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669843462

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MICHAEL DAVID KELLEMANCredential: O.D.

Location Address555 WILLARD AVE, EYE CLINICNewington, CT 06111-2631

Mailing Address555 Willard Ave, Eye ClinicNewington, CT 06111-2631 · (908) 812-4345

Phone(908) 812-4345

Sole ProprietorYes

Enumeration DateOctober 19, 2015

Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration

NPPES CertifiedAugust 15, 2022

✔ NPI 1669843462 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 CT · 2965

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.

555 WILLARD AVE, Newington, CT 06111

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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 Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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. Michael David Kelleman 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 06111 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

KAYLA GOMES PT, DPT, NCS

Physical Therapist

555 WILLARD AVE
NEWINGTON, CT 06111

Capitol Planning Region (860) 666-6951

MR. DEVIN PATRICK PRAY NP-C

Nurse Practitioner (Primary Care)

555 WILLARD AVE
NEWINGTON, CT 06111

Capitol Planning Region (860) 666-6951

DEPARTMENT OF VETERAN AFFAIRS

General Acute Care Hospital

555 WILLARD AVE, 2C-1147
NEWINGTON, CT 06111

Capitol Planning Region (860) 594-6353

DR. DONALD J CURRAN M.D.

Internal Medicine

555 WILLARD AVE
NEWINGTON, CT 06111

Capitol Planning Region (860) 594-6393

DR. VINCENT ANDREW THOREN OD (OPTOMETRY)

Optometrist

555 WILLARD AVE
NEWINGTON, CT 06111

Capitol Planning Region (203) 558-0119

LYNDA JAEGER COTA

Occupational Therapy Assistant

555 WILLARD AVE
NEWINGTON, CT 06111

Capitol Planning Region (860) 594-6369

CHRISTINA A PLANTIER PA-C

Physician Assistant (Medical)

555 WILLARD AVE
NEWINGTON, CT 06111

Capitol Planning Region (866) 808-7921

MAYA LEILA NASSER

Student in an Organized Health Care Education/Training Program

555 WILLARD AVE
NEWINGTON, CT 06111

Capitol Planning Region (860) 666-6951

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 Michael Kelleman's NPI number?

The NPI number for Michael Kelleman is 1669843462. It was assigned to this individual provider in the NPPES registry on October 19, 2015.

Where is Michael Kelleman located?

Michael Kelleman practices at 555 Willard Ave Eye Clinic, Newington, CT 06111. The listed phone number is (908) 812-4345.

What is Michael Kelleman's specialty?

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

Is Michael Kelleman enrolled in Medicare?

Yes. Michael Kelleman is registered in the Medicare PECOS enrollment system.

What insurance does Michael Kelleman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Michael Kelleman 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 Michael Kelleman was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.