DRS KELSO & KELSO OD PA (NPI# 1730337809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730337809 |
| Entity Type | Organization |
| Organization Name | DRS KELSO & KELSO OD PA |
| Practice Address |
2205 W Indiantown Rd Jupiter FL 33458-3924 |
| Practice Telephone | 5617432020 |
| Practice Fax Number | 5617455409 |
| Mailing Telephone | 5617432020 |
| Mailing Fax Number | 5617455409 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2015-03-09 |
| Authorized Official Name | DR. TRAVIS J KELSO (OPTOMETRIST) |
| Authorized Official Telephone | 5617432020 |
| Authorized Official Credential | OPTOMETRIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OP3360 | FL | Eye and Vision Services Providers |
| Street Address |
2205 W INDIANTOWN RD |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551759 | Amber Lindahl | Optometrist | 6380 W Indiantown Rd Ste 14, Jupiter, FL 33458-7979 | 2020-06-01 |
| 1487127320 | Eye & Ear of Chasewood LLC | Optometrist | 6380 W Indiantown Rd Ste 15, Jupiter, FL 33458-7979 | 2019-01-03 |
| 1447618459 | Eye & Ear of Jupiter, LLC | Optometrist | 175 Toney Penna Dr Ste 102, Jupiter, FL 33458-5747 | 2016-02-04 |
| 1750759775 | Amanda C Nugent | Optometrist | 19518 Trails End Ter, Jupiter, FL 33458-2442 | 2015-09-08 |
| 1356616528 | Daniel and Max | Optometrist | 903 W Indiantown Rd Ste 105, Jupiter, FL 33458-6850 | 2012-03-20 |
| 1356625115 | Catherine Derewyanko | Optometrist | 405 Douglas Dr, Jupiter, FL 33458-5004 | 2011-09-28 |
| 1427384239 | Advanced Vision Care of Jupiter Inc | Optometrist | 3893 Military Trl Ste 4, Jupiter, FL 33458-2936 | 2009-10-29 |
| 1215183769 | Nancy L Kelso Od Pa | Optometrist | 6230 W Indiantown Rd Ste 4, Jupiter, FL 33458-7917 | 2008-08-15 |
| 1427255918 | Inlet Optical Boutique Inc | Optometrist | 103 S Us Hwy 1, Suite B2, Jupiter, FL 33477 | 2007-06-28 |
| 1831224708 | Joel N. Hersch | Optometrist | 935 Military Trl Ste 101, Jupiter, FL 33458-7009 | 2007-02-22 |
| Find all providers in JUPITER | ||||
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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.