Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376907626 Individual Practitioner Female Practitioner

Dr. Kellie Jaclyn Ross-Chavez , OD

Optometrist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kellie Ross-Chavez, OD is a registered healthcare professional specializing in Optometrist in Vancouver, WA. Practice services are available at 19171 SE MILL PLAIN BLVD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19171 Se Mill Plain Blvd Ste 101

Vancouver, WA 986839321

Telephone 3608838889
Associated Practice Facility / Clinic
🏢 Pacific Eye Group Facility NPI 1891255105

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.2 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
82 Specialists

Practicing in Vancouver, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA OD60758608

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

29570 Water St

Highland, CA 923463949

Phone: 9099574279

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1477560993

Doctor of Optometry

Career & Practice History Timeline

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

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active July 27, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 27, 2017

Registered at 1017 SE 12TH AVE, APT 204, BATTLE GROUND, WA 98604

📍
Updated Practice Location July 27, 2017

Registered at 19171 SE MILL PLAIN BLVD STE 101, VANCOUVER, WA 986839321 (Tel: 3608838889)

👤
Provider Name / Credentials Updated July 27, 2017

Recorded as KELLIE ROSS-CHAVEZ, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2017

Optometrist (License #OD60758608 in WA)

📍
Updated Practice Location June 22, 2017

Registered at 19171 SE MILL PLAIN BLVD STE 101, VANCOUVER, WA 986839321 (Tel: 3608838889)

👤
Provider Name / Credentials Updated June 22, 2017

Recorded as KELLIE ROSS, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2017

Optometrist (License #OD60758608 in WA)

NPI Profile Active April 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2016

Registered at 29570 WATER ST, HIGHLAND, CA 923463949 (Tel: 9099574279)

📍
Updated Business Mailing Address April 12, 2016

Registered at 29570 WATER ST, HIGHLAND, CA 923463949

👤
Provider Name / Credentials Updated April 12, 2016

Recorded as KELLIE ROSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 12, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376907626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2016
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

1017 Se 12th Ave, Apt 204

Battle Ground, WA 98604

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.