Active NPI
Ellen Catineau Chasens, O.D.
- Optometrist
- Coral Gables, FL
National Provider Identifier
1104883370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC003092
- Practice address
- 2600 Granada Blvd
Coral Gables, FL 33134-5550 - Phone
- (305) 807-8329
- NPI assigned
- Apr 28, 2006
- 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 | OPC003092 | FL | Primary |
Addresses
Primary practice location
2600 Granada Blvd
Coral Gables, FL 33134-5550
Mailing address
2600 Granada Blvd
Coral Gables, FL 33134-5550
Phone (305) 807-8329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC0003092 | Other | FL | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC003092 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Eye Institute, PA | Optometrist | Current | Accepting new patients |
Locations
9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1104883370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 GRANADA BLVD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331345550",
"telephone_number": "305-807-8329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 GRANADA BLVD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331345550",
"telephone_number": "305-807-8329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASENS",
"first_name": "ELLEN",
"middle_name": "CATINEAU",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC003092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "OPC0003092",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.