DR. KELLY D ANDERSON (NPI# 1982702114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982702114 |
| Entity Type | Individual |
| Full Name | DR. KELLY D ANDERSON |
| Credential | OD |
| Practice Address |
1201 Piper Blvd Suite 22 Naples FL 34110-1380 |
| Mailing Address |
Po Box 61199 Fort Myers FL 33906-1199 |
| Practice Telephone | 2397343877 |
| Practice Fax Number | 2397343879 |
| Mailing Telephone | 2394180262 |
| Mailing Fax Number | 2392740773 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS NUMBER | 23001 | 01 |
| FL | 620851700 | 05 | |
| FL | MEDICAL LICENSE | OPC3770 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234710 | Kelly Mankin Anderson | Audiologist | 135 Nw 17th St, Bend, OR 97703-2420 | 2020-04-22 |
| 1184255408 | Kelly Marie Anderson | Registered Nurse | 10600 W 500 N, Deputy, IN 47230-8999 | 2020-01-27 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1457858300 | Kelly R Anderson | Nurse Practitioner | 10120 W Broad St Ste F, Glen Allen, VA 23060-6709 | 2018-04-08 |
| 1538578430 | Kelly Elizabeth Anderson | Student in an Organized Health Care Education/Training Program | 1512 Spreckels St, Honolulu, HI 96822-4658 | 2014-08-05 |
| 1528394681 | Kelly Elizabeth Anderson | Physical Therapist | 1742 Commonwealth Ave, Apt 2, Brighton, MA 02135 | 2009-10-26 |
| 1568694115 | Kelly L Anderson | Physical Therapist | 1325 Spring St., Greenwood, SC 29649 | 2009-08-17 |
| 1255586475 | Kelly Marie Anderson | Nurse's Aide | 1720 17th Ct, Jupiter, FL 33477-9089 | 2008-12-02 |
| 1114056637 | Kelly L Anderson | Social Worker | 655 E. Main St, Children's Hospital Guidance Center, Columbus, OH 43205 | 2007-03-02 |
| 1144828658 | Kelly Herbert Anderson | Social Worker | 220 N Ballston Ave, Scotia, NY 12302-2533 | 2020-10-16 |
| Street Address |
1201 PIPER BLVD SUITE 22 |
| City | NAPLES |
| State | FL |
| Zip Code | 34110-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457393936 | Buffalo Wheelchair, Inc. | Durable Medical Equipment & Medical Supplies | 1201 Piper Blvd, Suite 2, Naples, FL 34110-1380 | 2006-06-11 |
| 1801268701 | Anderson Eye Care LLC | Optometrist | 1201 Piper Blvd, Suite 22, Naples, FL 34110-1380 | 2015-10-30 |
| 1780029157 | Rx Care 11 LLC | Registered Nurse | 1201 Piper Blvd, Unit 12, Naples, FL 34110 | 2013-04-30 |
| 1467652123 | Kimberly Jean Nunn | Physical Therapist | 1201 Piper Blvd, Suite 18, Naples, FL 34110-1380 | 2007-07-20 |
| 1730102609 | Paul Hobaica | Internal Medicine | 1201 Piper Blvd, Suite 25, Naples, FL 34110-1380 | 2006-07-25 |
| 1891714051 | Physiotherapy Associates Inc | Clinic/Center | 1201 Piper Blvd, Ste 18, Naples, FL 34110-1380 | 2006-07-19 |
| 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 |
| 1801094933 | Kelly Anderson Od Pa | Optometrist | 15495 Tamiami Trl N, Suite 124, Naples, FL 34110-6206 | 2007-07-10 |
| 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.