Natalie Pelly, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5966 Issued in FL

Practice address

36086 Emerald Coast Pkwy
Destin, FL 32541-5720

Phone

(850) 424-6677

NPI assigned

Jul 14, 2021

Last updated

Sep 7, 2021By the provider in NPPES

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optikk 30a, PAGroup PAC ID 5395054761, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optikk 30a, PA

  • Optometrist
  • Santa Rosa Beach, FL
  • NPI 1487031233
  Medicare reassignment Care Compare group NPD
• Family First Vision Care, PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1104341882
  Medicare reassignment NPD
• South Walton Eyecare LLC

  • Optometrist
  • Inlet Beach, FL
  • NPI 1619537123
  Medicare reassignment NPD
• Wells Vision and Laser Eye Center, LLC

  • Optometrist
  • Destin, FL
  • NPI 1356498232
  Medicare reassignment NPD

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1841862356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36086 EMERALD COAST PKWY",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415720",
            "telephone_number": "850-424-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36086 EMERALD COAST PKWY",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415720",
            "telephone_number": "850-424-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24700 US Highway 331 S",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "postal_code": "324595502",
            "country_code": "US",
            "telephone_number": "850-931-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLY",
        "first_name": "NATALIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Patterson
• Paul Kellum, DDS
• Payne Chiropractic Life Center PA (Payne Chiropractic Wellness Center)
• Alan M Payne, DC
• Pediatric ABA 10 Inc
• Jennifer Peterson, IMH
• Valerie P. Peterson, L.M.H.C, N.CC, CCMHC
• Stephen R Phlaum, MD
• Brittany Catherine Pickney, OTR/L
• Jennifer Pillsbury, PHARM.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.