Kaily Marie Tschantz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC005357 Issued in FL

Practice address

701 S Ridgewood Ave
Daytona Beach, FL 32114-5331

Phone

(386) 253-5999

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaily Marie Jones Former name

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

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broome Vision IncGroup PAC ID 3678649373, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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

• Broome Vision Inc

  • Optometrist
  • Daytona Beach, FL
  • NPI 1922278704
  Medicare reassignment Care Compare group NPD
• Ondemandod LLC

  • Optometrist
  • Ormond Beach, FL
  • NPI 1881540573
  Medicare reassignment NPD Authorized official
• Case Vision, P.a.

  • Optometrist
  • Orange City, FL
  • NPI 1316422595
  Medicare reassignment NPD
• Volusia Vision

  • Optometrist
  • New Smyrna Beach, FL
  • NPI 1013520436
  NPD Authorized official
• Frank a. Broome Jr O.D.

  • Optometrist
  • Daytona Beach, FL
  • NPI 1699960849
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1578099339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 S ATLANTIC AVE",
            "address_2": "UNIT 202",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321182602",
            "telephone_number": "407-353-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145331",
            "telephone_number": "386-253-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSCHANTZ",
        "first_name": "KAILY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILY",
            "last_name": "JONES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Triumph Physical Therapy, LLC
• Rachel Kreuzer Troian, PA
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• Trustwise Care LLC
• Yong H Tsai, M.D.
• Tse Chung Lee, M.D., PL
• Tina Tso, M.D.
• Thomas Joseph Tssario, APRN
• Robert Langston Tugwell, P.T.
• David B Turetsky, MD

• Optometrist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.