MS. KELLY WILSE LDO
NPI 1508647959
Technician/Technologist - Optician in Palm Coast, FL

Active since October 11, 2023
174 CYPRESS POINT PKWY, PALM COAST, FL 32164(386) 446-8510(386) 446-8512 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kelly Wilse Ldo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY WILSE LDO (NPI 1508647959) is an individual optician in Palm Coast, Florida, licensed in Florida (6632) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1508647959
Entity TypeIndividualFemale
Primary Taxonomy156FX1800X
Provider Legal NameMS. KELLY WILSECredential: LDO
Location Address174 CYPRESS POINT PKWYPalm Coast, FL 32164-7438
Mailing Address4029 S Peninsula DrPort Orange, FL 32127-6635 · (386) 290-3022
Fax(386) 446-8512
Sole ProprietorYes
Enumeration DateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
NPI 1508647959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License Licensed in FL · 6632
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
174 CYPRESS POINT PKWY, Palm Coast, FL 32164

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician/Technologist (Optician)
174 CYPRESS POINT PKWY
PALM COAST, FL 32164
Eyewear Supplier
174 CYPRESS POINT PKWY
PALM COAST, FL 32164
Technician/Technologist (Optician)
174 CYPRESS POINT PKWY
PALM COAST, FL 32164
Technician/Technologist (Optician)
174 CYPRESS POINT PKWY
PALM COAST, FL 32164
Pharmacist
174 CYPRESS POINT PKWY
PALM COAST, FL 32164
Pharmacy (Community/Retail Pharmacy)
174 CYPRESS POINT PKWY
PALM COAST, FL 32164

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Wilse's NPI number?

The NPI number for Kelly Wilse is 1508647959. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Kelly Wilse located?

Kelly Wilse practices at 174 Cypress Point Pkwy, Palm Coast, FL 32164. The listed phone number is (386) 446-8510.

What is Kelly Wilse's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Kelly Wilse was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.