# KELLI L. PARKS, OD, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437494572
- **Authorized official:** DR. KELLI L PARKS OD (OPTOMETRIST)
- **Authorized official phone:** (850) 585-8830

## Contact information

- **Practice address:** 740 BEAL PKWY NW, FORT WALTON BEACH, FL 32547-3002
- **Practice address phone:** (850) 585-8830
- **Mailing address:** PO BOX 874, NICEVILLE, FL 32588-0874
- **Mailing address phone:** (850) 585-8830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3149 | FL | Yes |

## Other

- **Enumeration date:** 11/30/2012
- **Last updated:** 11/30/2012