Individual provider Active NPI

Kerry Ann Giedd, OD, MS

  • Optometrist
  • Orlando, FL
National Provider Identifier
1831220144
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3481 Issued in FL
Practice address
519 N Mills Ave
Orlando, FL 32803-5313
Phone
(407) 447-7739
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3481 FL Primary

Addresses

Primary practice location

519 N Mills Ave
Orlando, FL 32803-5313

Mailing address

519 N Mills Ave
Orlando, FL 32803-5313
Phone (407) 447-7739

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
I20131204001114 FL Practitioner - Optometry 9537204953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Giedd and Associates OD PAGroup PAC ID 3476698887, 4 clinicians

Practice addresses (Care Compare)

519 N Mills Ave
Orlando, FL 32803-5313
Phone (407) 447-7739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1831220144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035313",
            "telephone_number": "407-447-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035313",
            "telephone_number": "407-447-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIEDD",
        "first_name": "KERRY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.