Active NPI
Kelsey Alexandra Thomas, OD
- Optometrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6771
- Practice address
- 4871 Town Center Pkwy Ste 5
Jacksonville, FL 32246-8310 - Phone
- (904) 913-1082
- NPI assigned
- Jun 23, 2025
- Last updated
- Jun 23, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6771 | FL | Primary |
Addresses
Primary practice location
4871 Town Center Pkwy Ste 5
Jacksonville, FL 32246-8310
Mailing address
4871 Town Center Pkwy Ste 5
Jacksonville, FL 32246-8310
Phone (904) 913-1082
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7124 Beracasa Way
Boca Raton, FL 33433-3448
Phone (561) 750-7744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6771 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Medical FL PLLC | Optometrist | Current | Accepting new patients |
Locations
7124 Beracasa Way
Boca Raton, FL 33433
Phone (561) 750-7744
4871 Town Center Pkwy
Ste 5
Jacksonville, FL 32246
Phone (904) 686-1386
3920 Bee Ridge Rd
Ste A-A
Sarasota, FL 34233
Phone (941) 867-7463
7501 Paragon Rd
Ste 201
Dayton, OH 45459
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1972490746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4871 TOWN CENTER PKWY STE 5",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322468310",
"telephone_number": "904-913-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4871 TOWN CENTER PKWY STE 5",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322468310",
"telephone_number": "904-913-1082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KELSEY",
"middle_name": "ALEXANDRA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "6771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.