Laura Kelly

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6171 Issued in FL

Practice address

1495 W Sr 434
Longwood, FL 32750-3861

Phone

(407) 332-8255

NPI assigned

Aug 25, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Marc H Sherman OD PA

  • Optometrist
  • Longwood, FL
  • NPI 1073764817
  Medicare reassignment NPD
• Steven J Zorn OD PA

  • Optometrist
  • Ocoee, FL
  • NPI 1790933505
  NPD (past)

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1598484156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ALDEN RD APT 640",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 W SR 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327503861",
            "telephone_number": "407-332-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Caterina Katz
• Michele Katz
• Robin Katzman, D.M.D.
• Brianne G Kaufholz, MFTA
• Carly Keelan, COTA/L
• Nicole Kelly
• Nicole Kemp
• Jeremiah Kenney- Wright, D.C.
• Taylor Shea Keyser, LMT
• Hyndi E Khomutetsky, BCBA

• Optometrist in Longwood, FL
• Providers in Longwood, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.