DRS Kelso & Kelso OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP3360 Issued in FL

Legal business name

DRS KELSO & KELSO OD PA

Practice address

2205 W Indiantown Rd
Jupiter, FL 33458-3924

Phone

(561) 743-2020

Fax

(561) 745-5409

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Travis J Kelso, OPTOMETRISTNPI 1912933250

Title

Optometrist

Phone

(561) 743-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Travis Jacobs Kelso, O.D.

  • Optometrist
  • Jupiter, FL
  • NPI 1912933250
  Medicare reassignment NPD Authorized official
• Nancy Lynn Kelso, O.D.

  • Optometrist
  • Jupiter, FL
  • NPI 1356371934
  Medicare reassignment NPD

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1730337809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583924",
            "telephone_number": "561-743-2020",
            "fax_number": "561-745-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583924",
            "telephone_number": "561-743-2020",
            "fax_number": "561-745-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS KELSO & KELSO OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "KELSO",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "561-743-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP3360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Driftwood Family Practice PA
• Allison Driscoll
• Karen E Driscoll, M D P A
• Catherine Drourr, M.D.
• Nathaniel R Drourr, MD
• DRS. E. & D. Fischman, PA
• Drug Free Pain Center LLC
• Laura A Drumm, OTR
• Maxine L. Drummond
• Tabitha Ariel Dudak, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.