Active NPI
Shirley De la Rosa, OD
- Optometrist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5850
- Practice address
- 5020 E Colonial Dr
Orlando, FL 32803-4312 - Phone
- (321) 430-1266
- NPI assigned
- Sep 13, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618002476 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | OPC5850 | FL | Primary |
Addresses
Primary practice location
5020 E Colonial Dr
Orlando, FL 32803-4312
Mailing address
7157 Narcoossee Rd # 1308
Orlando, FL 32822-5533
Phone (321) 430-1266
Other practice location 1
701 W Livingston St Bldg 800
Orlando, FL 32805-1535
Phone (407) 428-5751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5850 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Center for the Homeless Inc | Current | Accepting new patients | |
| Sightrite Medical VA PLLC | Optometrist | Current | Accepting new patients |
| De la Rosa Eyecare, LLC | Optometrist | Current | Accepting new patients |
| Health Care Center for the Homeless, Inc. | Current | Accepting new patients | |
| Health Care Center for the Homeless, Inc. | Current | Accepting new patients | |
| Sightrite Medical DC PLLC | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Health Care Center for the Homeless Inc | Past | Accepting new patients |
Locations
2425 25th St SE
Washington, DC 20020
Phone (202) 678-0013
12950 E Colonial Dr
Ste 100
Orlando, FL 32826
Phone (352) 361-5205
4426 Old Winter Garden Rd
Orlando, FL 32811
Phone (407) 428-1672
5020 E Colonial Dr
Orlando, FL 32803
Phone (321) 430-1266
232 N Orange Blossom Trl
Orlando, FL 32805
Phone (407) 428-1672
701 W Livingston St
Bldg 800
Orlando, FL 32805
5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
107 S West St
Alexandria, VA 22314
Phone (571) 305-0400
10701 Main St
Fairfax, VA 22030
Phone (703) 273-7705
1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474
Organizations & group practices 11
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.
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1235213216
-
- Optometrist
- Alexandria, VA
- NPI 1346854874
-
- Optometrist
- Orlando, FL
- NPI 1164308771
-
- Optometrist
- Tampa, FL
- NPI 1114012689
-
- Optometrist
- Brandon, FL
- NPI 1902097306
-
- Federally Qualified Health Center (FQHC)
- Kissimmee, FL
- NPI 1346663325
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1952869968
-
- Clinic Pharmacy
- Orlando, FL
- NPI 1730291667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1124300413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7157 NARCOOSSEE RD # 1308",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328225533",
"telephone_number": "321-430-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5020 E COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328034312",
"telephone_number": "321-430-1266"
}
],
"practiceLocations": [
{
"address_1": "701 W Livingston St Bldg 800",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328051535",
"country_code": "US",
"telephone_number": "407-428-5751",
"fax_number": "407-428-6204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LA ROSA",
"first_name": "SHIRLEY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002476",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.