Individual provider Active NPI

Ellen Catineau Chasens, O.D.

  • Optometrist
  • Coral Gables, FL
National Provider Identifier
1104883370
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC003092 Issued in FL
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

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OPC0003092OtherFLLICENSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000607 FL Practitioner - Optometry 3870517121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC003092FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Institute, PA Optometrist CurrentSince Jan 6, 2023 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

Verify at the official NPI Registry.