KELLY ANDERSON OD PA (NPI# 1801094933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801094933 |
| Entity Type | Organization |
| Organization Name | KELLY ANDERSON OD PA |
| Practice Address |
15495 Tamiami Trl N Suite 124 Naples FL 34110-6206 |
| Mailing Address |
13300 S Cleveland Ave Ste 56 Suite 153 Fort Myers FL 33907-3871 |
| Practice Telephone | 2395934801 |
| Practice Fax Number | 2395933019 |
| Mailing Telephone | 2392972883 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-26 |
| Authorized Official Name | DR. KELLY ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 2392972883 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPC 3770 | FL | Eye and Vision Services Providers |
| Street Address |
15495 TAMIAMI TRL N SUITE 124 |
| City | NAPLES |
| State | FL |
| Zip Code | 34110-6206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669463501 | Michael Gerald Barile | Anesthesiology | 15495 Tamiami Trl N, Suite 119, Naples, FL 34110-6206 | 2005-10-31 |
| 1225462203 | Michael Gerald Barile Md Inc. | Anesthesiology | 15495 Tamiami Trl N, Suite 119, Naples, FL 34110-6206 | 2013-08-27 |
| 1437410149 | Tamara K Robison Dds Pa | Dentist | 15495 Tamiami Trl N, #125, Naples, FL 34110-6206 | 2012-05-30 |
| 1669767695 | Kevin P Rosenbach, Md Pa | Allergy & Immunology | 15495 Tamiami Trl N, Suite 119, Naples, FL 34110-6206 | 2011-06-17 |
| 1316195662 | Eloquent Eyes LLC | Durable Medical Equipment & Medical Supplies | 15495 Tamiami Trl N, Ste 124, Naples, FL 34110-6206 | 2008-08-28 |
| 1346497443 | Dr Brigid B Ogden Pa | Clinic/Center | 15495 Tamiami Trl N, Suite 124, Naples, FL 34110-6206 | 2008-08-20 |
| 1669673539 | Briggs Optical Two Lc | Technician/Technologist | 15495 Tamiami Trl N, Suite 124, Naples, FL 34110-6206 | 2007-05-30 |
| 1699703355 | Tamara Kristine Robison | Dentist | 15495 Tamiami Trl N, 125, Naples, FL 34110-6206 | 2006-06-29 |
| 1356392443 | Brigid B Ogden | Optometrist | 15495 Tamiami Trl N, Suite 124, Naples, FL 34110-6206 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235633488 | Ana Laura Leyva | Nurse Practitioner | 16010 Old 41 N Unit 102, Naples, FL 34110 | 2018-03-22 |
| 1598295495 | At Home Services of Swfl | Home Health | 161 Crown Dr, Naples, FL 34110 | 2017-06-14 |
| 1497100101 | Zumedic LLC | Nurse Practitioner | 16010 Old 41 Rd. Suite 102, Naples, FL 34110 | 2016-05-01 |
| 1386043024 | Specialty Home Health Agency | Home Health | 11983 Us Tamiami Trail North, Suite 132, Naples, FL 34110 | 2014-08-19 |
| 1457762403 | Better At Home Health Services, LLC | Home Health | 5683 Strand Court, Suite 101, Naples, FL 34110 | 2014-05-13 |
| 1447500970 | Epiphany Salon & Spa | Durable Medical Equipment & Medical Supplies | 14700 Tamiami Trail N., Suite #13, Naples, FL 34110 | 2012-09-12 |
| 1902172828 | Omar M Saleh | Internal Medicine | 2338 Immokalee Road, Naples, FL 34110 | 2012-03-25 |
| 1962785337 | Shannon Kathleen Perry | Speech-Language Pathologist | 16165 Learning Ln, Naples, FL 34110 | 2011-09-22 |
| 1417238338 | Virtus Health, LLC | Community/Behavioral Health | 90 Cypress Way E Ste 60, Naples, FL 34110 | 2011-09-06 |
| 1902113202 | Laura L Jones | Nurse Practitioner | 15450 Tamiami Trl N, Naples, FL 34110 | 2010-09-08 |
| Find all providers in zip 34110 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083707384 | Richard Alexander Mckyton | Optometrist | 821 Vanderbilt Beach Rd., Naples, FL 34108 | 2006-10-02 |
| 1932191756 | Terry R. Van Der Heyden | Optometrist | 4060 Tamiami Trl N, Suite 4, Naples, FL 34103-3596 | 2005-08-17 |
| 1982702114 | Kelly D Anderson | Optometrist | 1201 Piper Blvd, Suite 22, Naples, FL 34110-1380 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477173987 | Yunuseyeassociates,pa | Optometrist | 3950 S Us Hwy 17/92, Ste 1008, Casselberry, FL 32707-3270 | 2020-04-24 |
| 1053978122 | Yanara Barreras | Optometrist | 8888 Sw 136th St Ste 391, Miami, FL 33176-5801 | 2019-05-23 |
| 1700378163 | Lindsey Marie Walsh | Optometrist | 601 E Dixie Ave Ste 201, Leesburg, FL 34748-5991 | 2018-06-01 |
| 1225574783 | Miramar Vision Center | Optometrist | 9939 Miramar Pkwy, Miramar, FL 33025-2397 | 2017-01-09 |
| 1366807653 | Isee Eyecare Mobile, Inc. | Optometrist | 10860 Nw 37th Ct, Coral Springs, FL 33065-2701 | 2015-12-31 |
| 1053789644 | Eyepromote, Inc. | Optometrist | 2775 Nw 49th Ave, Suite 205-146, Ocala, FL 34482-6212 | 2015-09-13 |
| 1982086211 | Florida Eye Doctors, Inc | Optometrist | 1000 North Congress Avenue Suite 150, Boynton Beach, FL 33426-3337 | 2015-06-23 |
| 1760877757 | Kenneth Maller | Optometrist | 5333 N Dixie Hwy Ste 101, Oakland Park, FL 33334-3453 | 2015-04-06 |
| 1013314681 | Precision Eye Care Center LLC | Optometrist | 4900 N Highway 19a, Mount Dora, FL 32757-2042 | 2014-11-26 |
| 1801293709 | Debra A. Shim, Od, Pa | Optometrist | 451 University Blvd Ste 102, Jupiter, FL 33458-3102 | 2014-11-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.