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Kelly Wilse, LDO
NPI 1508647959 · Optician · Palm Coast, FL
Kelly Wilse, LDO is a Optician provider in Palm Coast, FL (NPI 1508647959).
Provider details
- NPI number
- 1508647959
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6632 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
174 Cypress Point Pkwy
Palm Coast, FL 32164-7438
Phone: (386) 446-8510
Fax: (386) 446-8512
Street-level locationGet directions
Mailing address
4029 S Peninsula Dr
Port Orange, FL 32127-6635
Registry dates
- Enumerated
- 2023-10-11
- Last updated
- 2023-10-11
- Certified
- 2023-10-11
Frequently asked questions
- What is Kelly Wilse's NPI number?
- Kelly Wilse's National Provider Identifier (NPI) is 1508647959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Wilse's specialty?
- Kelly Wilse is listed in the NPPES registry with a primary specialty of Optician (Eye and Vision Services Providers).
- Where is Kelly Wilse located?
- Kelly Wilse's practice location on file with NPPES is 174 Cypress Point Pkwy, Palm Coast, FL 32164-7438.
- What is Kelly Wilse's phone number?
- The practice phone number listed in the NPPES registry for Kelly Wilse is (386) 446-8510.
- Is Kelly Wilse's NPI active?
- Yes — Kelly Wilse's NPI (1508647959) is active in the NPPES registry as of the last update on 2023-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.