DR. KELLY SHORT O.D.
NPI 1841642501
Optometrist in Mt Juliet, TN

Q: What is Kelly Short's NPI number?

The NPI number for Kelly Short is 1841642501. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Q: What is Kelly Short'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 Short was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 06, 2016PECOS EnrolledAccepts Medicare Assignment

20 OLD PLEASANT GROVE RD, MT JULIET, TN 37122(615) 758-3833 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Kelly Short O.d. NPPES

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

DR. KELLY SHORT O.D. (NPI 1841642501) is an individual optometrist in Mt Juliet, Tennessee, licensed in Tennessee (3326) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2016).

NPPES Registry Identity

NPI1841642501

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. KELLY SHORTCredential: O.D.

Location Address20 OLD PLEASANT GROVE RDMt Juliet, TN 37122-3879

Mailing Address20 Old Pleasant Grove RdMt Juliet, TN 37122-3879

Phone(615) 758-3833

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 2016

Enumeration DateJuly 6, 2016

✔ NPI 1841642501 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 TN · 3326

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.

20 OLD PLEASANT GROVE RD, Mt Juliet, TN 37122

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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 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 and accepts Medicare assignment

Dr. Kelly Short O.d. 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 ID9133557143

PECOS Enrollment IDI20200324003970

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 37122 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.

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 Short's NPI number?

The NPI number for Kelly Short is 1841642501. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Kelly Short located?

Kelly Short practices at 20 Old Pleasant Grove Rd, Mt Juliet, TN 37122. The listed phone number is (615) 758-3833.

What is Kelly Short's specialty?

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

Is Kelly Short enrolled in Medicare?

Yes. Kelly Short 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.

What insurance does Kelly Short accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list Kelly Short 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 Kelly Short was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.