Individual provider Active NPI

Michelle Esperanza, OD

  • Optometrist
  • Kissimmee, FL
National Provider Identifier
1114010998
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4278 Issued in FL
Practice address
601 E Oak St
Kissimmee, FL 34744-4574
Phone
(407) 799-7281
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC4278 FL
Optometrist 152W00000X OPC4278 FL Primary
Optometrist 152W00000X ODT2644 TN

Addresses

Primary practice location

601 E Oak St
Kissimmee, FL 34744-4574

Mailing address

1480 Canopy Pasture Dr
Saint Cloud, FL 34771-8886
Phone (407) 799-7281

Other practice location 1

1471 E Osceola Pkwy
Kissimmee, FL 34744-1604
Phone (407) 799-7281

Other names 1

  • Dr. Michelle Esperanza Professional name

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
I20080508000438 FL Practitioner - Optometry 6800992322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1471 E Osceola Pkwy
Kissimmee, FL 34744-1604
Phone (407) 870-9944

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODT2644TNMDOptometrist
OPC4278FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Esperanza Eye Care Inc. Optometrist CurrentSince Dec 18, 2016 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 24, 2008 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 24, 2008 Accepting new patients

Locations

1471 E Osceola Pkwy
Kissimmee, FL 34744
Phone (407) 452-3700

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Organizations & group practices 4

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1114010998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 CANOPY PASTURE DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347718886",
            "telephone_number": "407-799-7281",
            "fax_number": "407-870-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444574",
            "telephone_number": "407-799-7281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1471 E OSCEOLA PKWY",
            "address_purpose": "LOCATION",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441604",
            "country_code": "US",
            "telephone_number": "407-799-7281",
            "fax_number": "407-870-0747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPERANZA",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC4278",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4278",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT2644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ESPERANZA",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.