Enas Shehadeh, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 5269 Issued in FL

Practice address

10450 SW 7TH CT Apt 311
Pembroke Pines, FL 33025-1869

Phone

(973) 563-5188

NPI assigned

Aug 13, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jennifer C. Pacheco, O.D., P.L.L.C.

  • Optometrist
  • Pompano Beach, FL
  • NPI 1417376112
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471046400000",
    "number": "1043764574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 SW 7TH CT APT 311",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251869",
            "telephone_number": "973-563-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 SW 7TH CT APT 311",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251869",
            "telephone_number": "973-563-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHADEH",
        "first_name": "ENAS",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-13",
        "last_updated": "2016-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Shaw, DO
• Leslie G Shawn, DO
• Shazia Zafar MD LLC
• Lacey Sheffield, APRN
• Taryn Sheffield
• Mohammad Khairul Kabir Sheikh, PHARM D
• Sheldon R Levin MD P a
• Alissa Jill Sheldon, PH.D.
• Daniel A Sheldon, M.D.
• Tara Elizabeth Shenker

• Optometrist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.