Individual provider Active NPI

James Kevin Belville, MD

  • Ophthalmology Physician
  • Lake Wales, FL
National Provider Identifier
1477524239
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C42711 Issued in CA
Practice address
749 State Road 60 E
Lake Wales, FL 33853-4240
Phone
(863) 676-7624
Fax
(863) 678-0268
NPI assigned
Jan 30, 2006
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C42711 CA Primary
Ophthalmology Physician 207W00000X 72389 CT
Ophthalmology Physician 207W00000X ME90641 FL
Ophthalmology Physician 207W00000X 14789 NE

Addresses

Primary practice location

749 State Road 60 E
Lake Wales, FL 33853-4240

Mailing address

403 Vonderburg Dr
Brandon, FL 33511-5501
Phone (813) 681-1122

Other practice location 1

116 N Plaza St
Brawley, CA 92227-2426
Phone (760) 344-4330

Other practice location 2

1801 E Tahquitz Canyon Way Ste 200
Palm Springs, CA 92262-7123
Phone (800) 898-2020

Other practice location 3

249 W Main St
Branford, CT 06405-4048
Phone (203) 483-2000

Other practice location 4

44139 Monterey Ave Ste A
Palm Desert, CA 92260-8700
Phone (760) 469-5195

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbelville@floridaeye.intellechartdirect.net Gregory L Henderson MD FACS INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, CT, CA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20041018000108 FL Practitioner - Ophthalmology 0143280826 Reassigns benefits to 1 organization
I20220418002108 NY Practitioner - Ophthalmology 0143280826 Reassigns benefits to 1 organization
I20221027001508 CT Practitioner - Ophthalmology 0143280826
I20230412002866 CA Practitioner - Ophthalmology 0143280826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1978
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)

120 Medical Blvd
Suite 101
Spring Hill, FL 34609-0221
Phone (352) 683-4500

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C42711CAMDOphthalmology Physician
72389CTMDOphthalmology Physician
ME90641FLMDOphthalmology Physician
14789NEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Vision Technology Ophthalmology Medical Group Inc. Ophthalmology Current Accepting new patients
Southeast Eye Institute, PA Ophthalmology CurrentSince Apr 1, 2025 Accepting new patients
Sight Medical Doctors PLLC Ophthalmology CurrentSince Jan 17, 2024 Accepting new patients
Medical Vision Technology Ophthalmology Medical Group Inc. Ophthalmology CurrentSince Mar 28, 2023 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Jan 17, 2024 Accepting new patients
J Kevin Belville MD PC Ophthalmology Past Accepting new patients
J Kevin Belville, MD PC Ophthalmology PastSince Sep 11, 2006 Accepting new patients

Locations

1830 Sierra Gardens Dr
Ste 100
Roseville, CA 95661
Phone (916) 782-2111

1700 Alhambra Blvd
Ste 202
Sacramento, CA 95816
Phone (916) 731-5955

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

120 Medical Blvd
Spring Hill, FL 34609
Phone (352) 340-2115

120 Medical Blvd
Ste 101
Spring Hill, FL 34609
Phone (352) 683-4500

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jbelville@eapinellas.intellechartdirect.net
  • Direct secure messaging: jbelville@floridaeyeinstitute.emadirect.md

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1477524239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115501",
            "telephone_number": "813-681-1122",
            "fax_number": "813-684-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 STATE ROAD 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534240",
            "telephone_number": "863-676-7624",
            "fax_number": "863-678-0268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 N Plaza St",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922272426",
            "country_code": "US",
            "telephone_number": "760-344-4330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 E Tahquitz Canyon Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922627123",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "249 W Main St",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064054048",
            "country_code": "US",
            "telephone_number": "203-483-2000",
            "fax_number": "203-483-2002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44139 Monterey Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922608700",
            "country_code": "US",
            "telephone_number": "760-469-5195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELVILLE",
        "first_name": "JAMES",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C42711",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "72389",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME90641",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "14789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbelville@floridaeye.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Gregory L Henderson MD FACS INC",
            "address_1": "749 State Road 60 E",
            "city": "Lake Wales",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338534240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

Verify at the official NPI Registry.