Individual provider Active NPI

Kimberly M Chaney, O.D.

  • Optometrist
  • Lakeland, FL
National Provider Identifier
1427362359
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4866 Issued in FL
Practice address
1251 Lakeland Hills Blvd
Lakeland, FL 33805
Phone
(863) 687-2260
NPI assigned
Aug 3, 2010
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4866 FL Primary

Addresses

Primary practice location

1251 Lakeland Hills Blvd
Lakeland, FL 33805

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 528-4975

Other practice location 1

38101 Market Sq
Zephyrhills, FL 33542-7505
Phone (813) 715-0195

Other practice location 2

7400 Gall Blvd
Zephyrhills, FL 33541-4371
Phone (813) 782-4546

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kchaney@eapinellas.intellechartdirect.net Southeast Eye Institute, PA

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
I20150916001481 FL Practitioner - Optometry 9830319367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Eye Institute PAGroup PAC ID 8224931993, 31 clinicians

Practice addresses (Care Compare)

9375 66TH St N
Pinellas Park, FL 33782-4418
Phone (727) 541-4469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Institute, PA Optometrist CurrentSince Nov 8, 2021 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Apr 11, 2017 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Apr 11, 2017 Accepting new patients

Locations

119 Patterson Rd
Haines City, FL 33844
Phone (863) 419-1300

1303 E Vine St
Kissimmee, FL 34744
Phone (407) 870-2002

1251 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-2260

4337 S Florida Ave
Lakeland, FL 33813
Phone (863) 619-2700

5528 US Highway 98 N
Lakeland, FL 33809
Phone (863) 294-5457

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

102 Henry Ave
Plant City, FL 33563
Phone (813) 704-6090

1040 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 654-5453

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

3040 W Bearss Ave
Tampa, FL 33618
Phone (813) 264-2020

215 1st St N
Winter Haven, FL 33881
Phone (863) 299-8908

7400 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 782-4546

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: kchaney@eapinellas.intellechartdirect.net

Organizations & group practices 4

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1427362359",
    "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": "813-528-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33805",
            "telephone_number": "863-687-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38101 Market Sq",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335427505",
            "country_code": "US",
            "telephone_number": "813-715-0195",
            "fax_number": "813-355-5049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7400 Gall Blvd",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335414371",
            "country_code": "US",
            "telephone_number": "813-782-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kchaney@eapinellas.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Southeast Eye Institute, PA",
            "address_1": "7400 Gall Blvd",
            "city": "Zephyrhills",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335414371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.