Active NPI 1437193828 Individual Practitioner Male Practitioner

Dr. Augustine J. Kellis , MD

Ophthalmology • Chardon, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Augustine Kellis, MD is a certified Ophthalmology practicing in Chardon, OH. With approximately 37 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1989, Dr. Kellis delivers high-quality medical care to the local community at 150 7TH AVE.

Dr. Kellis is affiliated with Ophthalmology And Oculoplastic Surgery Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include measurement of corneal curvature and depth of eye, new patient outpatient office visit, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

150 7th Ave
Suite 100

Chardon, OH 440242908

Telephone 4402852020

Fax 4402858448

Associated Practice Facility / Clinic

🏢 Precision Orthopaedic Specialties, Inc. Facility NPI 1649257973

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Chardon, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +13.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Chardon, OH (803 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kellis (37 Years) 37 Yrs

Chardon Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	237	124	$125.63	$35.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	213	213	$299.77	$158.37
66984 Removal of cataract with insertion of lens	190	102	$1598.95	$491.13
92081 Exam of visual field with limited testing	125	124	$55.00	$30.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	111	$200.00	$120.40
66821 Removal of recurring cataract in lens capsule using a laser	105	70	$600.00	$287.30
99213 Established patient office or other outpatient visit, typically 15 minutes	85	67	$150.00	$85.60
15823 Removal of excessive skin and fat of upper eyelid	78	78	$3000.00	$766.87
67900 Repair of brow paralysis	59	59	$1850.85	$307.58
92285 Photography of content of eyes	55	52	$50.00	$21.09
92134 Imaging of retina	50	48	$100.00	$37.34
67840 Removal of eyelid growth	43	42	$616.28	$91.48
92133 Imaging of optic nerve	33	28	$100.00	$33.49
67908 Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis	31	31	$1400.00	$476.81
67840 Removal of eyelid growth	22	21	$534.09	$273.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$200.00	$105.17
68840 Probing of nasal-tear duct	16	15	$296.88	$146.04
76514 Ultrasound scan of cornea to determine thickness	15	15	$50.00	$10.06
92014 Established patient complete exam of visual system	14	14	$175.00	$116.60
92083 Exam of visual field with extended testing	14	13	$125.00	$58.02
67412 Removal of growth of cavity behind eye	12	12	$1800.00	$951.50
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$1400.00	$546.29
67917 Extensive repair of turning-outward eyelid defect	11	11	$1359.09	$345.54
67924 Extensive repair of turning-inward eyelid defect	11	11	$1254.55	$442.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	203	110	$109.73	$29.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	202	202	$300.00	$159.44
66984 Removal of cataract with insertion of lens	178	102	$1600.00	$502.13
92081 Exam of visual field with limited testing	132	131	$55.00	$30.80
99213 Established patient office or other outpatient visit, typically 15 minutes	107	83	$150.00	$86.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	96	$200.00	$121.93
66821 Removal of recurring cataract in lens capsule using a laser	97	66	$600.00	$290.95
15823 Removal of excessive skin and fat of upper eyelid	90	90	$3000.00	$769.94
67900 Repair of brow paralysis	73	73	$1936.99	$332.02
92285 Photography of content of eyes	56	55	$50.00	$21.26
92134 Imaging of retina	49	49	$100.00	$37.95
92133 Imaging of optic nerve	49	45	$100.00	$34.37
67840 Removal of eyelid growth	45	45	$627.78	$93.39
92014 Established patient complete exam of visual system	38	37	$175.00	$119.08
68840 Probing of nasal-tear duct	32	28	$300.78	$148.24
92083 Exam of visual field with extended testing	30	26	$125.00	$58.21
67840 Removal of eyelid growth	26	26	$538.46	$282.84
76514 Ultrasound scan of cornea to determine thickness	21	21	$50.00	$10.34
67908 Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis	20	20	$1400.00	$526.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$200.00	$107.23
67810 Biopsy of eyelid	15	15	$300.00	$167.35
67917 Extensive repair of turning-outward eyelid defect	13	13	$1550.00	$370.37
92004 New patient complete exam of visual system	12	12	$200.00	$141.51
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$1400.00	$518.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	238	124	$110.15	$28.87
66984 Removal of cataract with insertion of lens	181	108	$2641.99	$495.41
92014 Established patient complete exam of visual system	172	171	$179.56	$120.70
99213 Established patient office or other outpatient visit, typically 15 minutes	168	133	$196.73	$87.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	165	165	$258.48	$161.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	122	$244.62	$123.44
92081 Exam of visual field with limited testing	115	113	$66.48	$31.05
92134 Imaging of retina	112	110	$100.00	$38.54
92133 Imaging of optic nerve	100	97	$100.00	$34.80
66821 Removal of recurring cataract in lens capsule using a laser	69	46	$827.25	$294.26
92285 Photography of content of eyes	69	67	$58.84	$21.58
15823 Removal of excessive skin and fat of upper eyelid	68	68	$2341.18	$789.45
67900 Repair of brow paralysis	58	58	$1463.79	$335.25
92083 Exam of visual field with extended testing	54	54	$111.39	$59.30
67840 Removal of eyelid growth	27	27	$787.04	$98.60
68840 Probing of nasal-tear duct	26	25	$413.46	$158.44
76514 Ultrasound scan of cornea to determine thickness	25	25	$21.20	$10.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$166.96	$108.68
66982 Complex removal of cataract with insertion of prosthetic lens	22	18	$3122.73	$684.97
67840 Removal of eyelid growth	20	20	$500.00	$270.44
67810 Biopsy of eyelid	19	19	$315.79	$183.19
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	19	19	$1442.11	$532.83
67917 Extensive repair of turning-outward eyelid defect	18	18	$1639.44	$311.49
92004 New patient complete exam of visual system	18	18	$192.78	$143.04
67800 Removal of eyelid growth	12	12	$173.33	$122.82
15576 Creation of flap graft to eyelids, nose, ears, lips, or mouth	12	12	$2000.00	$341.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	425	182	$110.00	$27.20
66984 Removal of cataract with insertion of lens	229	126	$2750.00	$508.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	226	226	$238.14	$164.49
92014 Established patient complete exam of visual system	185	184	$180.00	$121.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	163	$226.25	$125.95
99213 Established patient office or other outpatient visit, typically 15 minutes	166	136	$184.22	$88.51
92134 Imaging of retina	162	162	$92.59	$39.25
92133 Imaging of optic nerve	141	137	$93.48	$35.36
92081 Exam of visual field with limited testing	96	96	$70.00	$32.02
66821 Removal of recurring cataract in lens capsule using a laser	76	52	$891.58	$301.60
92083 Exam of visual field with extended testing	65	65	$110.00	$59.46
92285 Photography of content of eyes	60	60	$56.67	$21.56
15823 Removal of excessive skin and fat of upper eyelid	56	56	$2160.71	$784.49
67900 Repair of brow paralysis	52	52	$1399.04	$351.78
67840 Removal of eyelid growth	48	46	$562.50	$294.52
68840 Probing of nasal-tear duct	32	30	$403.13	$145.97
76514 Ultrasound scan of cornea to determine thickness	32	32	$20.00	$10.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$162.90	$109.66
67840 Removal of eyelid growth	22	21	$704.55	$91.35
66982 Complex removal of cataract with insertion of prosthetic lens	20	15	$3300.00	$714.15
92004 New patient complete exam of visual system	13	13	$190.00	$145.06
67810 Biopsy of eyelid	13	13	$300.00	$159.63
67924 Extensive repair of turning-inward eyelid defect	12	12	$1489.58	$421.50
92201 Extended exam of the back part of the eye with retinal drawing	12	12	$50.83	$24.28
67908 Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis	11	11	$981.82	$529.05
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$1600.00	$499.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	285	121	$110.00	$30.03
92014 Established patient complete exam of visual system	274	266	$180.00	$121.72
66984 Removal of cataract with insertion of lens	174	94	$2750.00	$516.46
99213 Established patient office or other outpatient visit, typically 15 minutes	160	133	$100.38	$72.50
92133 Imaging of optic nerve	131	125	$60.00	$35.03
92134 Imaging of retina	129	128	$60.00	$39.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$160.00	$104.81
92083 Exam of visual field with extended testing	72	70	$110.00	$60.33
66821 Removal of recurring cataract in lens capsule using a laser	71	50	$880.00	$301.76
92004 New patient complete exam of visual system	68	68	$190.00	$145.22
92081 Exam of visual field with limited testing	65	65	$70.00	$31.61
92285 Photography of content of eyes	56	55	$40.00	$20.57
15823 Removal of excessive skin and fat of upper eyelid	51	51	$2200.00	$801.47
67900 Repair of brow paralysis	49	49	$1438.78	$367.15
92012 Established patient problem focused exam of visual system	45	42	$110.00	$85.08
92082 Exam of visual field with intermediate testing	30	30	$90.00	$43.29
67840 Removal of eyelid growth	25	24	$571.20	$81.46
67840 Removal of eyelid growth	22	22	$491.82	$286.50
76514 Ultrasound scan of cornea to determine thickness	21	21	$20.00	$11.04
68840 Probing of nasal-tear duct	17	17	$370.59	$137.29
66982 Complex removal of cataract with insertion of prosthetic lens	17	11	$3300.00	$660.04
92201 Extended exam of the back part of the eye with retinal drawing	14	14	$50.00	$24.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$140.00	$106.01
92020 Examination of cornea and iris using lens device and slit lamp	12	11	$40.00	$26.88
92250 Photography of the retina	12	11	$100.00	$42.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$210.00	$161.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	399	388	$172.38	$120.87
92136 Measurement of corneal curvature and depth of eye	252	110	$110.00	$32.69
99213 Established patient office or other outpatient visit, typically 15 minutes	214	174	$100.00	$71.15
66984 Removal of cataract with insertion of lens	182	98	$2750.00	$588.45
92134 Imaging of retina	182	179	$60.00	$39.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$157.21	$104.17
92133 Imaging of optic nerve	156	153	$60.00	$35.25
92082 Exam of visual field with intermediate testing	139	139	$90.00	$43.01
15823 Removal of excessive skin and fat of upper eyelid	117	117	$2171.79	$778.78
66821 Removal of recurring cataract in lens capsule using a laser	116	74	$887.59	$300.24
92012 Established patient problem focused exam of visual system	102	86	$110.00	$84.06
67900 Repair of brow paralysis	99	98	$1333.33	$356.93
92083 Exam of visual field with extended testing	97	94	$110.00	$60.56
92004 New patient complete exam of visual system	91	91	$190.00	$141.72
92285 Photography of content of eyes	66	66	$40.00	$19.68
67840 Removal of eyelid growth	64	58	$530.94	$84.74
68840 Probing of nasal-tear duct	35	35	$454.29	$131.83
66982 Complex removal of cataract with insertion of prosthetic lens	31	20	$3300.00	$754.41
67908 Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis	27	27	$933.33	$498.68
65855 Laser repair to improve eye fluid flow	23	15	$500.00	$201.86
67917 Extensive repair of turning-outward eyelid defect	22	21	$1818.64	$384.05
92020 Examination of cornea and iris using lens device and slit lamp	20	18	$40.00	$26.53
76514 Ultrasound scan of cornea to determine thickness	20	20	$20.00	$11.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$140.00	$104.39
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	16	16	$500.00	$252.23
67840 Removal of eyelid growth	16	16	$446.25	$272.51
67810 Biopsy of eyelid	16	16	$300.00	$166.30
67820 Removal of eyelashes using forceps	15	12	$189.00	$37.56
92250 Photography of the retina	14	14	$100.00	$47.77
31231 Diagnostic examination of nasal passages using an endoscope	14	13	$270.00	$189.15
92225 Examination of eye by ophthalmoscope with retinal drawing	14	14	$50.00	$26.60
68440 Snip incision of tear-drainage opening at inner corner of the eye	13	13	$230.77	$57.16
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$1600.00	$436.32
67923 Repair of turning-inward eyelid defect	12	12	$1191.67	$433.44
67904 Repair of tendon of upper eyelid	12	12	$3300.00	$699.11
67412 Removal of growth of cavity behind eye	11	11	$1200.00	$874.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	373	367	$160.00	$115.97
99213 Established patient office or other outpatient visit, typically 15 minutes	307	229	$100.00	$66.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	246	246	$140.08	$99.61
92136 Measurement of corneal curvature and depth of eye	220	103	$111.50	$35.00
92082 Exam of visual field with intermediate testing	188	185	$90.00	$39.89
92134 Imaging of retina	170	164	$60.00	$38.10
66984 Removal of cataract with insertion of lens	150	85	$2750.00	$589.28
92133 Imaging of optic nerve	149	148	$60.00	$34.23
66821 Removal of recurring cataract in lens capsule using a laser	107	69	$880.00	$287.81
15823 Removal of excessive skin and fat of upper eyelid	107	107	$2200.00	$753.22
92083 Exam of visual field with extended testing	88	80	$110.00	$57.71
92285 Photography of content of eyes	87	87	$40.00	$18.63
92004 New patient complete exam of visual system	84	84	$190.00	$139.64
67900 Repair of brow paralysis	80	80	$1359.38	$336.86
76514 Ultrasound scan of cornea to determine thickness	46	46	$20.00	$13.21
68840 Probing of nasal-tear duct	40	37	$360.00	$111.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	31	$140.00	$98.33
67840 Removal of eyelid growth	29	29	$521.38	$81.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$210.00	$153.82
92250 Photography of the retina	26	26	$100.00	$51.89
67908 Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis	25	25	$984.00	$514.04
67810 Biopsy of eyelid	22	22	$300.00	$157.81
67820 Removal of eyelashes using forceps	22	14	$171.82	$42.89
67923 Repair of turning-inward eyelid defect	18	18	$1100.00	$389.75
67840 Removal of eyelid growth	18	18	$490.00	$273.91
66982 Complex removal of cataract with insertion of prosthetic lens	17	14	$3300.00	$741.70
67917 Extensive repair of turning-outward eyelid defect	16	15	$2143.13	$367.00
92012 Established patient problem focused exam of visual system	14	14	$110.00	$80.28
31231 Diagnostic examination of nasal passages using an endoscope	14	13	$270.00	$190.09
65875 Removal of scar tissue in eye	14	11	$750.00	$292.74
92225 Examination of eye by ophthalmoscope with retinal drawing	13	12	$50.00	$25.27
68440 Snip incision of tear-drainage opening at inner corner of the eye	13	13	$219.23	$56.30
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	12	12	$541.67	$256.45
67904 Repair of tendon of upper eyelid	12	12	$3850.00	$766.77
67412 Removal of growth of cavity behind eye	12	12	$1191.67	$822.74
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$1733.33	$370.62
68815 Probing of nasal-tear duct with insertion of tube or stent	11	11	$772.73	$168.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	461	446	$160.00	$113.81
99213 Established patient office or other outpatient visit, typically 15 minutes	368	277	$100.00	$67.37
92136 Measurement of corneal curvature and depth of eye	263	127	$110.00	$40.22
92133 Imaging of optic nerve	235	228	$60.00	$34.10
66984 Removal of cataract with insertion of lens	217	121	$2750.00	$591.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	177	177	$140.00	$99.08
92082 Exam of visual field with intermediate testing	130	129	$90.00	$41.40
66821 Removal of recurring cataract in lens capsule using a laser	121	80	$880.00	$283.01
92004 New patient complete exam of visual system	120	120	$190.00	$137.05
92083 Exam of visual field with extended testing	115	103	$110.00	$58.11
92134 Imaging of retina	109	105	$60.00	$37.59
15823 Removal of excessive skin and fat of upper eyelid	81	81	$2118.52	$730.67
67900 Repair of brow paralysis	65	65	$1326.92	$338.44
92285 Photography of content of eyes	56	55	$40.00	$18.24
66982 Complex removal of cataract with insertion of prosthetic lens	36	23	$3300.00	$737.97
67908 Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis	31	31	$1064.52	$521.99
68840 Probing of nasal-tear duct	30	28	$334.00	$119.35
65875 Removal of scar tissue in eye	28	16	$750.00	$288.80
76514 Ultrasound scan of cornea to determine thickness	26	26	$20.00	$13.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$140.00	$98.31
67917 Extensive repair of turning-outward eyelid defect	24	20	$1847.08	$336.89
67810 Biopsy of eyelid	23	23	$300.00	$142.39
67840 Removal of eyelid growth	21	21	$460.00	$267.18
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	20	19	$500.00	$257.77
65855 Laser repair to improve eye fluid flow	19	14	$500.00	$185.50
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	18	17	$1600.00	$353.38
67840 Removal of eyelid growth	17	17	$469.41	$79.80
15740 Creation of skin and tissue graft	16	16	$1760.00	$609.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$210.00	$152.26
92250 Photography of the retina	14	14	$100.00	$59.46
67882 Creation of permanent eyelid margin scarring with relocation of eyelid tissue	14	13	$1225.71	$282.36
68761 Closure of tear duct opening using plug	14	11	$446.43	$197.33
92020 Examination of cornea and iris using lens device and slit lamp	14	13	$40.00	$25.00
11100 Biopsy of single growth of skin and/or tissue	13	11	$130.00	$86.93
68440 Snip incision of tear-drainage opening at inner corner of the eye	12	12	$225.00	$56.56
92012 Established patient problem focused exam of visual system	11	11	$110.00	$78.72
67412 Removal of growth of cavity behind eye	11	11	$1100.00	$693.69

Medical Specialties & State Licenses

CMS Verified: 2022-09-09

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35060480

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0978036 (OH)

Commercial Insurance / Payer ID Railroad Medicare

180020602 (OH)

Hospital & Practice Group Affiliations

Ophthalmology And Oculoplastic Surgery Inc

150 7th Ave, Chardon, OH 440242909

Phone: 4402852020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Mark Prendes , MD

Ophthalmology

NPI 1073874954

Doctor of Medicine (M.D.)

Dr. Gene Johnson , MD

Ophthalmology

NPI 1396950184

Doctor of Medicine (M.D.)

Dr. Kylie Hess , OD

Optometrist

NPI 1427841949

Doctor of Optometry

Dr. John Langel , OD

Optometrist

NPI 1821449406

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 28, 2010

Registered at 150 7TH AVE, SUITE 100, CHARDON, OH 440242908 (Tel: 4402852020)

📍

Updated Business Mailing Address January 28, 2010

Registered at 150 7TH AVE, SUITE 100, CHARDON, OH 440242908 (Tel: 4402852020)

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Provider Name / Credentials Updated January 28, 2010

Recorded as AUGUSTINE KELLIS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2010

Ophthalmology (License #35060480 in OH)

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Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437193828

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2006

Last Update: September 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

150 7th Ave, Suite 100

Chardon, OH 440242908

Phone: 4402852020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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