Kelley Eye, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KELLEY EYE, LLC

Practice address

1928 Howell Branch Rd
Winter Park, FL 32792-1013

Phone

(407) 671-5445

Fax

(407) 671-2899

NPI assigned

Jul 8, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kaitlyn Kelley, ODNPI 1538612486

Title

Owner/Optometrist

Phone

(407) 671-5445

Specialties & licenses 1

Addresses

Other names 1

• Eye Associates of Winter Park Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaitlyn Kelley, OD

  • Optometrist
  • Winter Park, FL
  • NPI 1538612486
  Medicare reassignment Care Compare group NPD Authorized official
• Sandra Harrington Barker, O.D.

  • Optometrist
  • Winter Park, FL
  • NPI 1194702324
  Medicare reassignment Care Compare group NPD
• Penny Elizabeth Straughn, O.D.

  • Optometrist
  • Gainesville, FL
  • NPI 1518997303
  Medicare reassignment Care Compare group NPD
• Gary Lee Barker, O.D.

  • Optometrist
  • Winter Park, FL
  • NPI 1235116468
  Medicare reassignment NPD
• Tawni Leanne Cashon, OD

  • Optometrist
  • Winter Park, FL
  • NPI 1952892937
  Medicare reassignment NPD
• Bradley Scott Giedd, O.D., M.S.

  • Optometrist
  • Winter Park, FL
  • NPI 1679551444
  NPD
• Alaina Medvetz, OD

  • Optometrist
  • Winter Park, FL
  • NPI 1629545207
  NPD
• Marguerite Ellen Ball-Thomas, O.D.

  • Optometrist
  • Winter Park, FL
  • NPI 1477531317
  NPD (past)

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1700519451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 HOWELL BRANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921013",
            "telephone_number": "407-671-5445",
            "fax_number": "407-671-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 HOWELL BRANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921013",
            "telephone_number": "407-671-5445",
            "fax_number": "407-671-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY EYE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "407-671-5445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "see@eyeassociateswp.com",
            "affiliation": "N",
            "address_1": "1928 Howell Branch Rd",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327921013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eye Associates of Winter Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keep Moving Forward Consulting LLC
• Rebecca Anne Keffer Machado, LM,CPM
• Brandon Michael Keilman, PT, DPT
• Jason Allan Keilman, LMHC
• Kaman Michelle Keller, APRN
• Kaitlyn Kelley, OD
• Victoire Elite Kelley, MD
• Priscilla Jean Kelly, LMHC
• Shannon Kelly, PSY.D.
• Jennifer M Kelsey, ARNP

• Optometrist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.