Kidseyedr, LLC

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

Legal business name

KIDSEYEDR, LLC

Practice address

915 SE Ocean Blvd Ste 4
Stuart, FL 34994-2426

Phone

(772) 249-1038

NPI assigned

Feb 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nehemiah Spencer, M.D.

Title

Owner

Phone

(772) 249-1038

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1336688720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SE OCEAN BLVD STE 4",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942426",
            "telephone_number": "772-249-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SE OCEAN BLVD STE 4",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942426",
            "telephone_number": "772-249-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSEYEDR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "NEHEMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-249-1038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001380900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahmed Khalafalla, MD
• Sharon Khan Lepak, DO
• Nadia Khelah
• Resham Khilnani, M.D.
• Brody Khoury, DC
• Kidseyerx, LLC
• Keith Stephen Kilgallen, DDS
• Margaret Kilian, B.P.S.
• Jillian Killane
• Andi Rose Kilpatrick, COTA/L

• Pediatric Ophthalmology and Strabismus Specialist Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.