Organization
GREGORY KIPP O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY T. KIPP O.D. (OWNER)
(386) 673-4220
Entity
Organization
Contact information
Practice address
3710 SAINT JOHNS AVE, PALATKA, FL 32177-4026
(386) 328-1562
Mailing address
1206 OAK FOREST DR, ORMOND BEACH, FL 32174-4022
(386) 673-4220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1387
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078133900
—
FL
Enumeration date
01/30/2012
Last updated
01/30/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us