DR. AMY R KELLER (OD) – Optometrist, NPI 1861494643

DR. AMY R KELLER (OD) is a healthcare provider. based in Columbus, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5123 (OH). The NPI Number for DR. AMY R KELLER (OD) is 1861494643

Main info

Female
26 Years Of Experience
Name
DR. AMY R KELLER (OD)
NPI
1861494643
Phone
(174) 739-8996
Address
5081 N HAMILTON RD
Enumeration Date
11 August 2005
Last Update Date
27 August 2020

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
6149330575
Graduation Year
2000 (26 years ago)
PAC ID
2466488267
Group Practice PAC ID
4385996842
Professional Enrollment ID
I20050713000391
Address ID
OH430549733NE6772XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for DR. AMY R KELLER (OD)

  • North Hamilton Road, Columbus, Sharon, Ohio, 43054, United States

    COLUMBUS, OH 432308001

    Phone: (174) 739-8996

    Fax: (614) 473-9906

    Type: Mailing

  • 6472 Winchester Blvd

    Canal Winchester, OH 431102004

    Phone: (614) 837-9595

    Fax: (614) 837-8205

    Type: Location

  • 1215 Stone Trail Dr

    Blacklick, OH 43004

    Phone: (614) 722-4076

    Fax: (614) 722-4083

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $300.

Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($149).

Total Amount

$300

General + Research + Ownership

Payments

6

Total payment records

General Amount

$300

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

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: 2005-07-13

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
I20050713000391IOptometryOHTBD

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
92014Established patient complete exam of visual system2121$0
View full utilization report →

Insurance plans in this area (ZIP 43230)

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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: 4385996842View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

Can I use this page to confirm DR. AMY R KELLER (OD)'s NPI?
Yes. DR. AMY R KELLER (OD) is listed with NPI 1861494643 in the public NPI dataset.
Does the file indicate DR. AMY R KELLER (OD) is practicing under active NPI?
Directory data currently reports DR. AMY R KELLER (OD) as active.
What is DR. AMY R KELLER (OD)'s primary classification?
Optometrist is the headline specialty for DR. AMY R KELLER (OD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. AMY R KELLER (OD) on a map?
Expect Columbus, Ohio as a primary anchor for DR. AMY R KELLER (OD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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