THOMAS KELLY OD INC
NPI 1982093746
Optometrist in Bay Village, OH

Active since January 16, 2015
433 DOVER CENTER RD, BAY VILLAGE, OH 44140(440) 871-1139(440) 871-0222 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas Kelly Od Inc NPPES

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

THOMAS KELLY OD INC (NPI 1982093746) is a healthcare organization registered as an optometrist in Bay Village, Ohio and active in the NPI registry since January 2015. The organization lists Thomas M Kelly, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1982093746
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameTHOMAS KELLY OD INC
Location Address433 DOVER CENTER RDBay Village, OH 44140-2355
Mailing Address433 Dover Center RdBay Village, OH 44140-2355 · (440) 871-1139 · Fax (440) 871-0222
Fax(440) 871-0222
Organization SubpartNo
Authorized OfficialThomas M KellyOptometrist · (440) 871-1139
Enumeration DateJanuary 16, 2015
Last NPPES UpdateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1982093746 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 OH · 3675
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.
433 DOVER CENTER RD, Bay Village, OH 44140

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Kelly Od Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Thomas Kelly Od Inc, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Optometry
NPI 1568429876
570 DOVER CENTER RD
Bay Village, OH 44140
(440) 871-1139
✔ PECOS✔ Accepts Medicare0.3 mi
Optometry
NPI 1609428028
570 DOVER CENTER RD
Bay Village, OH 44140
(440) 871-1139
✔ PECOS✔ Accepts Medicare0.3 mi
Optometry
NPI 1285730986
570 DOVER CENTER RD
Bay Village, OH 44140
(440) 871-1139
✔ PECOS✔ Accepts Medicare0.3 mi
Optometry
NPI 1114956786
21014 CENTER RIDGE RD
Rocky River, OH 44116
(440) 331-4644
✔ PECOS✔ Accepts Medicare3.8 mi
Optometry
NPI 1770500274
16400 HILLIARD RD
Lakewood, OH 44107
(216) 228-1800
✔ PECOS✔ Accepts Medicare5.7 mi

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

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 Thomas Kelly Od Inc's NPI number?

The NPI number for Thomas Kelly Od Inc is 1982093746. It was assigned to this organization in the NPPES registry on January 16, 2015.

Where is Thomas Kelly Od Inc located?

Thomas Kelly Od Inc is located at 433 Dover Center Rd, Bay Village, OH 44140. The listed phone number is (440) 871-1139.

What is Thomas Kelly Od Inc's specialty?

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

Is Thomas Kelly Od Inc enrolled in Medicare?

Yes. Thomas Kelly Od Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thomas Kelly Od Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Thomas Kelly Od Inc. A 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 the clinician's services. Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Thomas Kelly Od Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Thomas Kelly Od Inc 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 Thomas Kelly Od Inc was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.