DR. ROBERT JR. KESEAD (O.D.) – Optometrist, NPI 1003879123

DR. ROBERT JR. KESEAD (O.D.) is a healthcare provider. based in Hurlburt field, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT 9146 (CA). The NPI Number for DR. ROBERT JR. KESEAD (O.D.) is 1003879123

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT JR. KESEAD (O.D.)
NPI
1003879123
Phone
(850) 883-3187
Address
113 LIELMANIS AVE
Enumeration Date
10 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
9286692137
Graduation Year
2005 (21 years ago)
PAC ID
7911085303
Group Practice PAC ID
0244405629
Professional Enrollment ID
I20080425000254
Address ID
AZ853447718PA12033RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for DR. ROBERT JR. KESEAD (O.D.)

  • 1st Special Operations Medical Group - Hurlburt Field, 113, Lielmanis Avenue, Mary Esther, Okaloosa County, Florida, 32544, United States

    HURLBURT FIELD, FL 325445613

    Phone: (850) 883-3187

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080425000254IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32544)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244405629View full group profile
NameSpecialtyState
Nurse PractitionerSD
Diagnostic RadiologyTX
Emergency MedicineCA
O P T O M E T R YAZ
P O D I A T R YND
P O D I A T R YAZ
-CA
Family PracticeKS
Emergency MedicineIN
-GA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ROBERT JR. KESEAD (O.D.)?
DR. ROBERT JR. KESEAD (O.D.) — NPI 1003879123 — is the standard way to identify this listing.
Is DR. ROBERT JR. KESEAD (O.D.) still practicing?
DR. ROBERT JR. KESEAD (O.D.) is currently listed as active in the public NPI registry.
What is DR. ROBERT JR. KESEAD (O.D.)'s specialty?
The listing groups DR. ROBERT JR. KESEAD (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ROBERT JR. KESEAD (O.D.) on a map?
Expect Hurlburt Field, Florida as a primary anchor for DR. ROBERT JR. KESEAD (O.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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