Individual provider Active NPI

Chelsi Kerby

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1629753298
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6254 Issued in FL
Practice address
6927 4TH St N
St Petersburg, FL 33702-6846
Phone
(727) 210-8672
NPI assigned
Jun 20, 2023
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 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 6254 FL Primary

Addresses

Primary practice location

6927 4TH St N
St Petersburg, FL 33702-6846

Mailing address

4670 Yarmouth Ave S
St Petersburg, FL 33711-3347
Phone (561) 214-2198

Other names 1

  • Chelsi Quo Former name

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
I20230823000084 FL Practitioner - Optometry 1355704487 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians
Bay Vision IncGroup PAC ID 1557771193, 2 clinicians

Practice addresses (Care Compare)

4590 Park Blvd N
Suite 200
Pinellas Park, FL 33781-3543
Phone (727) 547-4856

6951 22ND Ave N
St Petersburg, FL 33710-3919
Phone (727) 344-1992

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6254FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Vision Inc Optometrist CurrentSince Jul 17, 2024 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Aug 21, 2024 Accepting new patients
Pearle Capstone Eye Associates PLLC Optometrist CurrentSince Jun 25, 2023 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Aug 21, 2024 Accepting new patients
B&B Florida Eye Care PLLC Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Pearle Capstone Eye Associates, PLLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Luxottica of America Inc PastSince Jul 17, 2024 Accepting new patients

Locations

4590 Park Blvd N
Ste 200
Pinellas Park, FL 33781
Phone (727) 547-4856

11290 Park Blvd
Ste B
Seminole, FL 33772
Phone (727) 374-5121

7855 113th St
Ste A
Seminole, FL 33772
Phone (727) 317-6174

1350 4th St N
St Petersburg, FL 33701
Phone (727) 498-5117

6927 4th St N
St Petersburg, FL 33702
Phone (727) 210-8672

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

39310 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 756-1220

Networks

  • Freedom Health HMO Network

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1629753298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 YARMOUTH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337113347",
            "telephone_number": "561-214-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337026846",
            "telephone_number": "727-210-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBY",
        "first_name": "CHELSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSI",
            "last_name": "QUO",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.