MRS. KELLEY R JACKSON CONDON (O.D.) – Optometrist, NPI 1275649444

MRS. KELLEY R JACKSON CONDON (O.D.) is a healthcare provider. based in Golden, Colorado. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. CO1678 (CO). The NPI Number for MRS. KELLEY R JACKSON CONDON (O.D.) is 1275649444

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLEY R JACKSON CONDON (O.D.)
NPI
1275649444
Phone
(303) 271-1400
Address
1409 WASHINGTON AVE
Enumeration Date
21 August 2006
Last Update Date
4 March 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9708748110
Graduation Year
1994 (32 years ago)
PAC ID
5496884215
Group Practice PAC ID
3072745843
Professional Enrollment ID
I20100603000376
Address ID
CO814161842DE164XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

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Provider Addresses for MRS. KELLEY R JACKSON CONDON (O.D.)

  • 1409, Washington Avenue, Golden, Jefferson County, Colorado, 80401, United States

    GOLDEN, CO 80401

    Phone: (303) 271-1400

    Fax: (303) 271-9314

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($141).

Total Amount

$194

General + Research + Ownership

Payments

7

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100603000376IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes7449$0
92014Established patient complete exam of visual system6969$0
92004New patient complete exam of visual system6262$0
92250Photography of the retina5347$0
66984Removal of cataract with insertion of prosthetic lens2718$0
View full utilization report →

Insurance plans in this area (ZIP 80401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072745843View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO

Reviews

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Frequently asked questions

Does MRS. KELLEY R JACKSON CONDON (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. KELLEY R JACKSON CONDON (O.D.) uses 1275649444.
Does CMS list MRS. KELLEY R JACKSON CONDON (O.D.) as active?
Yes — MRS. KELLEY R JACKSON CONDON (O.D.) is active in the NPI listing used on this page.
What is MRS. KELLEY R JACKSON CONDON (O.D.) best known for clinically?
Directory data describes MRS. KELLEY R JACKSON CONDON (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. KELLEY R JACKSON CONDON (O.D.)?
MRS. KELLEY R JACKSON CONDON (O.D.)'s geographic hint is Golden, Colorado in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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