Michelle Theresa Sanseverino, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5740 Issued in FL

Practice address

19575 Biscayne Blvd Ste 579
Aventura, FL 33180-2312

Phone

(305) 932-7373

Fax

(305) 933-8338

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Sanseverino Vision PLLC

  • Optometrist
  • Aventura, FL
  • NPI 1699603167
  NPD Authorized official
• Dr Leo Edelsberg and Associates

  • Optometrist
  • Aventura, FL
  • NPI 1477849040
  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1114560034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 BOCA GLADES BLVD W # CONDOG",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344087",
            "telephone_number": "954-214-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19575 BISCAYNE BLVD STE 579",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802312",
            "telephone_number": "305-932-7373",
            "fax_number": "305-933-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSEVERINO",
        "first_name": "MICHELLE",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurys A Sandoval de Bonhomme
• Sandra Doman DC LLC
• Akhila Sangadi
• Sanmar Optical Inc. (Eye Optics of Miami)
• Sanseverino Vision PLLC
• Roberto Andres Santana Artiles, APRN
• Kristen Faith Santana, MD
• Sara Kae Santana, PT, DPT
• Santiago Figuereo MD PA
• Luis Gerardo Santiago Zayas

• Optometrist in Aventura, FL
• Providers in Aventura, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.