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DR. KELLY JOHN CORBRIDGE O.D.
NPI 1902098007
Optometrist in Kingman, AZ

Active since August 13, 2007PECOS EnrolledAccepts Medicare Assignment
2187 AIRWAY AVE., KINGMAN, AZ 86409(928) 757-5005 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Kelly John Corbridge O.d. NPPES

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

DR. KELLY JOHN CORBRIDGE O.D. (NPI 1902098007) is an individual optometrist in Kingman, Arizona, licensed in Arizona (829) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1992).

NPPES Registry Identity

NPI1902098007
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KELLY JOHN CORBRIDGECredential: O.D.
Location Address2187 AIRWAY AVE.Kingman, AZ 86409-3669
Mailing Address2187 Airway Ave.Kingman, AZ 86409-3669 · (928) 757-5005
Phone(928) 757-5005
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 1992
Enumeration DateAugust 13, 2007
Last NPPES UpdateMay 12, 2008
✔ NPI 1902098007 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 AZ · 829
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.
2187 AIRWAY AVE., Kingman, AZ 86409
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Other Identifiers 2

Medicare PINOD829AZ
Medicare UPINU37152AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Providence Health Plan.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 John Corbridge 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 ID9032137146
PECOS Enrollment IDI20051108000103
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
226 services221 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
140 services140 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
88 services67 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
71 services71 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
46 services28 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
41 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86409 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 Corbridge's NPI number?

The NPI number for Kelly Corbridge is 1902098007. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Kelly Corbridge located?

Kelly Corbridge practices at 2187 Airway Ave., Kingman, AZ 86409. The listed phone number is (928) 757-5005.

What is Kelly Corbridge's specialty?

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

Is Kelly Corbridge enrolled in Medicare?

Yes. Kelly Corbridge 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 Corbridge accept?

Health plans from Blue Cross Blue Shield of Arizona and Providence Health Plan list Kelly Corbridge 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 Corbridge was last updated on May 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.