Organization Active NPI

Nancy L Kelso OD PA

  • Optometrist
  • Jupiter, FL
National Provider Identifier
1215183769
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP3160 Issued in FL
Legal business name
NANCY L KELSO OD PA
Practice address
6230 W Indiantown Rd Ste 4
Jupiter, FL 33458-7917
Phone
(561) 743-2020
Fax
(561) 745-5409
NPI assigned
Aug 15, 2008
Last updated
Aug 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Nancy Lynn Kelso, ODNPI 1356371934
Title
Optometrist/ Owner
Phone
(561) 743-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP3160 FL Primary

Addresses

Primary practice location

6230 W Indiantown Rd Ste 4
Jupiter, FL 33458-7917

Mailing address

6230 W Indiantown Rd Ste 4
Jupiter, FL 33458-7917
Phone (561) 743-2020

National Provider Directory

National Provider Directory

Locations

1872 N Military Trl
West Palm Beach, FL 33409
Phone (561) 242-0090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1215183769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 W INDIANTOWN RD STE 4",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587917",
            "telephone_number": "561-743-2020",
            "fax_number": "561-745-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 W INDIANTOWN RD STE 4",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587917",
            "telephone_number": "561-743-2020",
            "fax_number": "561-745-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY L KELSO OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "KELSO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "561-743-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP3160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.