KELLY VAN CLEAVE (O.D.) – Optometrist, NPI 1639622186

KELLY VAN CLEAVE (O.D.) is a healthcare provider. based in Bryan, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 8944T (TX). The NPI Number for KELLY VAN CLEAVE (O.D.) is 1639622186

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KELLY VAN CLEAVE (O.D.)
NPI
1639622186
Phone
Not provided
Address
2801 E 29TH ST
Enumeration Date
2 August 2016
Last Update Date
30 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9797767564
Graduation Year
2016 (10 years ago)
PAC ID
6709172653
Group Practice PAC ID
2264575398
Professional Enrollment ID
I20160901001972
Address ID
TX778456147CO3030XEXXX401

Contacts

Secure Messaging
drvancleave@marreye.imwdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

3,129 OPTOMETRY in TX

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Provider Addresses for KELLY VAN CLEAVE (O.D.)

  • 2801, East 29th Street, Bryan, Brazos County, Texas, 77802, United States

    BRYAN, TX 778022618

    Phone:

    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 10 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($54).

Total Amount

$183

General + Research + Ownership

Payments

10

Total payment records

General Amount

$183

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

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: 2016-09-01

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
I20160901001972IOptometryTXTBD

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 system741636$0
92012Established patient problem focused exam of visual system319214$0
92250Photography of the retina318263$0
92134Imaging of retina139127$0
92133Imaging of optic nerve134120$0
View full utilization report →

Insurance plans in this area (ZIP 77802)

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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: 2264575398View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P T O M E T R YVI
-TX

Reviews

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Frequently asked questions

How do I look up KELLY VAN CLEAVE (O.D.) by NPI?
Use NPI 1639622186 when you need to reference KELLY VAN CLEAVE (O.D.) in forms, claims, or directories.
Does this profile mean KELLY VAN CLEAVE (O.D.) is currently active?
Yes — KELLY VAN CLEAVE (O.D.) appears active in the national provider directory.
What field does KELLY VAN CLEAVE (O.D.) work in?
You can think of KELLY VAN CLEAVE (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Does KELLY VAN CLEAVE (O.D.) practice in Texas?
You will see Bryan, Texas on file for KELLY VAN CLEAVE (O.D.) alongside any extra practice locations.
How can I contact KELLY VAN CLEAVE (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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