Travis Jacobs Kelso, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP3360 Issued in FL

Practice address

6230 W Indiantown Rd
Jupiter, FL 33458-7917

Phone

(561) 743-2020

Fax

(561) 745-5409

NPI assigned

Jun 25, 2006

Sex

Male

Sole proprietor

No

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

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 and National Provider Directory roles.

• DRS Kelso & Kelso OD PA

  • Optometrist
  • Jupiter, FL
  • NPI 1730337809
  Medicare reassignment NPD Authorized official
• Nancy L Kelso OD PA

  • Optometrist
  • Jupiter, FL
  • NPI 1215183769
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912933250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 ISLAND RD",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334044707",
            "telephone_number": "561-848-3171",
            "fax_number": "561-745-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587917",
            "telephone_number": "561-743-2020",
            "fax_number": "561-745-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "TRAVIS",
        "middle_name": "JACOBS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP3360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kekki Physical Therapy and Acupuncture Inc
• Tanya K Kekki, DC
• Kelly Carlson, LLC (Kelly Lyn Carlson, LMHC)
• Janelle M Kelly
• Nancy Lynn Kelso, O.D.
• Kemp Diabetic Supply
• Holly A Kendrigan, LCSW
• Kenneth J. Fuquay MD PA
• Kenneth R. Beer, MD PA
• Alyssa Renee Kenyon, D. C.

• 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 Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.