Kelsey Alexandra Thomas, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6771 Issued in FL

Practice address

4871 Town Center Pkwy Ste 5
Jacksonville, FL 32246-8310

Phone

(904) 913-1082

NPI assigned

Jun 23, 2025

Sex

Unspecified or another gender identity

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Star Medical FL PLLCGroup PAC ID 7113385444, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Star Medical FL PLLC

  • Optometrist
  • Ormond Beach, FL
  • NPI 1164129409
  Medicare reassignment Care Compare group NPD

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": []
}

• Joyce A Thomas, ARNP
• Julie E. Thomas, PA-C
• Kaci Hollenbacher Thomas
• Kathryn Lemaire Thomas, ARNP
• Katrina D Thomas, BUSINESS/ OPERATOR
• Kimialeesha Thomas, FNP
• Kisha Denise Thomas, MD
• Kiyah Noema Thomas
• Koshanna Thomas
• Latrena M Thomas

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

• 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.

Verify at the official NPI Registry.