Individual provider Active NPI

Rebekah Anne Kemp, OD

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1962630277
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4673 Issued in FL
Practice address
5290 Seminole Blvd Ste F
St Petersburg, FL 33708-3369
Phone
(727) 800-4411
Fax
(727) 491-5075
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4673 FL Primary

Addresses

Primary practice location

5290 Seminole Blvd Ste F
St Petersburg, FL 33708-3369

Mailing address

5290 Seminole Blvd Ste F
St Petersburg, FL 33708-3369
Phone (727) 800-4411

Other names 1

  • Rebekah Anne Smith Former name

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
I20120606000333 FL Practitioner - Optometry 6608030572 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Eyecare, LLC Optometrist CurrentSince Feb 1, 2023 Accepting new patients
Island Optics LLC Optometrist CurrentSince Aug 12, 2018 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

15037 Madeira Way
Madeira Beach, FL 33708
Phone (727) 800-4411

2143 Tyrone Blvd N
St Petersburg, FL 33710
Phone (727) 345-3360

5290 Seminole Blvd
Ste F
St Petersburg, FL 33708
Phone (727) 800-4411

2001 E Fowler Ave
Tampa, FL 33612
Phone (813) 972-3465

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1962630277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 SEMINOLE BLVD STE F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083369",
            "telephone_number": "727-800-4411",
            "fax_number": "727-491-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 SEMINOLE BLVD STE F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083369",
            "telephone_number": "727-800-4411",
            "fax_number": "727-491-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "REBEKAH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "SMITH",
            "middle_name": "ANNE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.