Individual provider Active NPI

Kelsey Alcocer, O.D.

  • Optometrist
  • Zephyrhills, FL
National Provider Identifier
1104275932
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5325 Issued in FL
Practice address
38101 Market SQ
Zephyrhills, FL 33542-7505
Phone
(813) 715-0195
Fax
(813) 355-5049
NPI assigned
Jun 13, 2016
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X OPC5325 FL Primary

Addresses

Primary practice location

38101 Market SQ
Zephyrhills, FL 33542-7505

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 528-4876

Other practice location 1

10000 Bay Pines Blvd
Bay Pines, FL 33744-8200
Phone (727) 398-6661

Other identifiers 1

IdentifierTypeStateIssuer
021534700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012000077 FL Practitioner - Optometry 4284909508 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians
St Lukes Cataract and Laser InstituteGroup PAC ID 7517853948, 54 clinicians

Practice addresses (Care Compare)

3665 E Bay Dr
Suite 200
Largo, FL 33771-1989
Phone (727) 538-2775

43309 US Hwy 19 N
Tarpon Springs, FL 34689-6221
Phone (727) 943-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
St Lukes Cataract & Laser Institute Optometrist CurrentSince Apr 26, 2021 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Nov 1, 2025 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Aug 1, 2017 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Nov 1, 2025 Accepting new patients
Florida Medical Clinic LLC CurrentSince Aug 1, 2017 Accepting new patients
St Lukes Surgical Center Inc PastSince Nov 27, 2022 Accepting new patients

Locations

501 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 210-8811

3665 E Bay Dr
Ste 200
Largo, FL 33771
Phone (727) 538-2775

25232 State Road 54
Lutz, FL 33559
Phone (727) 943-3111

187 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 684-6722

9400 9th St N
St Petersburg, FL 33702
Phone (727) 328-7700

13303 N Dale Mabry Hwy
Tampa, FL 33618
Phone (727) 938-2020

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020

38101 Market Square Dr
Zephyrhills, FL 33542
Phone (813) 715-0195

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kelsey.alcocerod.p1@direct.stlukeseye.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1104275932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-528-4876",
            "fax_number": "813-355-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38101 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-715-0195",
            "fax_number": "813-355-5049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 Bay Pines Blvd",
            "address_purpose": "LOCATION",
            "city": "Bay Pines",
            "state": "FL",
            "postal_code": "337448200",
            "country_code": "US",
            "telephone_number": "727-398-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALCOCER",
        "first_name": "KELSEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021534700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.