DR. TERESA KIM SALOMON OD
NPI 1891789517
Optometrist in Winter Haven, FL

Active since September 08, 2005PECOS Enrolled
570 AVENUE K SE, WINTER HAVEN, FL 33880(863) 401-4200(863) 220-9912 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2021, May 12, 2021 (2 updates tracked since 2021).

About Dr. Teresa Kim Salomon Od NPPES

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

DR. TERESA KIM SALOMON OD (NPI 1891789517) is an individual optometrist in Winter Haven, Florida, licensed in Florida (OPC1964) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891789517
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. TERESA KIM SALOMONCredential: OD
Location Address570 AVENUE K SEWinter Haven, FL 33880-4203
Mailing Address570 Avenue K SeWinter Haven, FL 33880-4203 · (863) 401-4200 · Fax (863) 220-9912
Fax(863) 220-9912
Sole ProprietorNo
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJune 1, 20212 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1891789517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC1964
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
570 AVENUE K SE, Winter Haven, FL 33880

Other Identifiers 1

Medicaid086882500FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Teresa Kim Salomon Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Teresa Salomon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
570 AVENUE K SE
Winter Haven, FL 33880
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
Optometrist
215 1ST ST N, SUITE 100
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 322 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33880 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Optometrist
570 AVENUE K SE
WINTER HAVEN, FL 33880
Optometrist
570 AVENUE K SE
WINTER HAVEN, FL 33880
Optometrist
570 AVENUE K SE
WINTER HAVEN, FL 33880
Optometrist
570 AVENUE K SE
WINTER HAVEN, FL 33880

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 Teresa Salomon's NPI number?

The NPI number for Teresa Salomon is 1891789517. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Teresa Salomon located?

Teresa Salomon practices at 570 Avenue K SE, Winter Haven, FL 33880. The listed phone number is (863) 401-4200.

What is Teresa Salomon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Teresa Salomon enrolled in Medicare?

Yes. Teresa Salomon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Teresa Salomon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Salomon reassigns Medicare benefits to 2 organizations: Salomon Eye Care PA (Winter Haven, FL) and Myeyedr. Optometry Of Florida, LLC (Winter Haven, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teresa Salomon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Salomon accept?

Health plans from Wellpoint list Teresa Salomon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teresa Salomon was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.