Kelly D Anderson, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPC 3770 Issued in FL

Practice address

1201 Piper Blvd
Suite 22
Naples, FL 34110-1380

Phone

(239) 734-3877

Fax

(239) 734-3879

NPI assigned

Sep 20, 2006

Last updated

Dec 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Anderson Eye Care LLC

  • Optometrist
  • Naples, FL
  • NPI 1801268701
  Authorized official Same address or phone
• Kelly Anderson OD PA

  • Corneal and Contact Management Optometrist
  • Naples, FL
  • NPI 1801094933
  NPD (past) Authorized official
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  NPD (past)
• Jonathan M Frantz, MD PA

  • Ophthalmology Physician
  • Punta Gorda, FL
  • NPI 1316096506
  NPD (past)
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1982702114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61199",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339061199",
            "telephone_number": "239-418-0262",
            "fax_number": "239-274-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PIPER BLVD",
            "address_2": "SUITE 22",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101380",
            "telephone_number": "239-734-3877",
            "fax_number": "239-734-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KELLY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC 3770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620851700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "23001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OPC3770",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Danielle Anderson, RDH
• George Anderson
• Heather Anderson, NP
• Jennifer Amy Anderson, APRN
• Jill Marie Anderson, ARNP
• Lee K Anderson, MD
• Melissa Ann Anderson
• Natacha Roman Anderson, LMHC
• Shaina Anderson
• Stephany Jean Anderson, OT

• Corneal and Contact Management Optometrist in Naples, FL
• Providers in Naples, FL by specialty
• Corneal and Contact Management Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.