Individual provider Active NPI

Andrew Gisel, OD

  • Optometrist
  • Oviedo, FL
National Provider Identifier
1144845934
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5832 Issued in FL
Practice address
1020 Lockwood Blvd
Oviedo, FL 32765-6027
Phone
(407) 971-1001
NPI assigned
Jun 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5832 FL Primary

Addresses

Primary practice location

1020 Lockwood Blvd
Oviedo, FL 32765-6027

Mailing address

1020 Lockwood Blvd
Oviedo, FL 32765-6027

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
I20200923001660 FL Practitioner - Optometry 3577982610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Source Maitland, LLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients

Locations

1020 Lockwood Blvd
Oviedo, FL 32765
Phone (407) 971-1001

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": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1144845934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LOCKWOOD BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LOCKWOOD BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656027",
            "telephone_number": "407-971-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISEL",
        "first_name": "ANDREW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.