Active NPI
Heather Ann Celentano, O.D.
- Optometrist
- Hialeah, FL
National Provider Identifier
1083920771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3079
- Practice address
- 3805 W 16TH Ave
Hialeah, FL 33012-7004 - Phone
- (305) 364-3343
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3079 | FL | Primary |
Addresses
Primary practice location
3805 W 16TH Ave
Hialeah, FL 33012-7004
Mailing address
2765 Hackney Rd
Weston, FL 33331-3002
Phone (954) 385-9529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC3079 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282348800000",
"number": "1083920771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2765 HACKNEY RD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313002",
"telephone_number": "954-385-9529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 W 16TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127004",
"telephone_number": "305-364-3343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELENTANO",
"first_name": "HEATHER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2010-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.