Jillian Nichole Vansell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6817 Issued in FL

Practice address

1350 4TH St N
St Petersburg, FL 33701-1118

Phone

(727) 498-5117

NPI assigned

Oct 2, 2025

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

Specialty

Optometry

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pearle Capstone Eye Associates PLLCGroup PAC ID 1951777929, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Pearle Capstone Eye Associates, PLLC

  • Optometrist
  • Odessa, FL
  • NPI 1841925849
  Medicare reassignment Care Compare group NPD
• Pearle Capstone Eye Associates PLLC

  • Optometrist
  • St Petersburg, FL
  • NPI 1154039014
  NPD

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1609740596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24978 GOTTSCHALK RD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653011538",
            "telephone_number": "660-473-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011118",
            "telephone_number": "727-498-5117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7855 113th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337724672",
            "country_code": "US",
            "telephone_number": "727-317-6174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANSELL",
        "first_name": "JILLIAN",
        "middle_name": "NICHOLE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Vangalder
• Vanguard Emergency Physicians, LLC
• Frans Vanhaaren
• Toby William Vanlandschoot, DDS, MS
• Jason Vanman, DMD
• Rachel Vansteenbergen
• Lemi Salamanca Vanwanzeele, PT
• Shyam S Varadarajulu, MD
• Ajay Varanasi, MD
• Adiane Varela Garcia

• Optometrist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.