Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kelly Jacobi Waddell, OD

Individual provider Optometrist · NPI 1881889251

Dr. Kelly Jacobi Waddell, OD is an Optometry in Fort Pierce, Florida. Qualified in 2007, 19 years ago. Practices with J.s. Davis LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2305 Oleander Ave
Fort Pierce, FL 34982
Phone: (772) 465-6616
Fax: (772) 468-2858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC4270 (FL)

Record details

NPI number1881889251
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 10, 2007
Last updated in NPPESJuly 27, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice J.S. Davis Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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