DR. LISA S KELLER (O.D.) – Optometrist, NPI 1164675989

DR. LISA S KELLER (O.D.) is a healthcare provider. based in Litchfield, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046.010168 (IL). The NPI Number for DR. LISA S KELLER (O.D.) is 1164675989

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA S KELLER (O.D.)
NPI
1164675989
Phone
(217) 324-5004
Address
1205 W FERDON ST
Enumeration Date
23 October 2008
Last Update Date
23 October 2008

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
2173245004
Graduation Year
2004 (22 years ago)
PAC ID
2062600331
Professional Enrollment ID
I20101230000877
Address ID
IL620564454LI1205XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Loading map...

Provider Addresses for DR. LISA S KELLER (O.D.)

  • Walmart Supercenter, 1205, West Ferdon Street, Litchfield, Montgomery County, Illinois, 62056, United States

    LITCHFIELD, IL 620564454

    Phone: (217) 324-5004

    Fax: (217) 324-5438

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-12-30

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
I20101230000877IOptometryILTBD

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
66984Removal of cataract with insertion of prosthetic lens2,16016$0
99213Established patient office or other outpatient visit, 20-29 minutes324239$0
92250Photography of the retina7976$0
99202New patient office or other outpatient visit, 15-29 minutes7676$0
92134Imaging of retina7060$0
View full utilization report →

Insurance plans in this area (ZIP 62056)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for DR. LISA S KELLER (O.D.)?
DR. LISA S KELLER (O.D.) — NPI 1164675989 — is the standard way to identify this listing.
Does the file indicate DR. LISA S KELLER (O.D.) is practicing under active NPI?
Directory data currently reports DR. LISA S KELLER (O.D.) as active.
What is DR. LISA S KELLER (O.D.) best known for clinically?
Directory data describes DR. LISA S KELLER (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. LISA S KELLER (O.D.) on a map?
Expect Litchfield, Illinois as a primary anchor for DR. LISA S KELLER (O.D.) unless the record lists multiple sites.
Why does DR. LISA S KELLER (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

1205 W Ferdon St
NPI: 1548379613
510, West Union Avenue, Litchfield, Montgomery County, Illinois, 62056, United States
NPI: 1790865368
110 E RYDER ST
NPI: 1225390883
110 E RYDER ST
NPI: 1225432966