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

Gregory T Kipp, OD

Individual provider Optometrist · NPI 1265488134

Gregory T Kipp, OD is an Optometry in Port Orange, Florida. Graduated from Southern California College of Optometry in 1977, 49 years ago. Licensed in Florida.

Years since qualifying
49
Trained at
Southern California College of Optometry
Licensed in
FL
In the registry since
2006
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

3820 S Nova Rd
Port Orange, FL 32127-4949
Phone: (386) 767-0068
Fax: (386) 767-4755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC1387 (FL)

Record details

NPI number1265488134
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESNovember 7, 2007
Mailing address3820 S Nova Rd, Port Orange, FL 32127-4949

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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