Active NPI
Charles R Descheneaux, OD
- Optometrist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3108
- Practice address
- 12715 Pegasus Dr
Orlando, FL 32816-8030 - Phone
- (407) 365-4040
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3108 | FL | Primary |
Addresses
Primary practice location
12715 Pegasus Dr
Orlando, FL 32816-8030
Mailing address
2984 Alafaya TRL
#1030
Oviedo, FL 32765-7628
Phone (407) 365-4040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620387601 | Medicaid | FL | |
| 620387600 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Source Maitland, LLC | Optometrist | Current | Accepting new patients |
| Sightrite Medical FL PLLC | Optometrist | Current | Accepting new patients |
| Bruce W Anderson, P.a. | Optometrist | Past | Accepting new patients |
Locations
575 Lamar Ave
Brooksville, FL 34601
Phone (352) 799-2226
17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998
1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800
1020 Lockwood Blvd
Oviedo, FL 32765
Phone (407) 971-1001
267 Broadway
Brooklyn, NY 11211
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
Networks
- Freedom Health HMO Network
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.
-
- Optometrist
- Oviedo, FL
- NPI 1033283288
-
- Optometrist
- Ormond Beach, FL
- NPI 1164129409
-
- Optometrist
- Tampa, FL
- NPI 1598968869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1154319366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2984 ALAFAYA TRL",
"address_2": "#1030",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327657628",
"telephone_number": "407-365-4040",
"fax_number": "407-365-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12715 PEGASUS DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328168030",
"telephone_number": "407-365-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESCHENEAUX",
"first_name": "CHARLES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620387601",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620387600",
"state": "FL"
}
],
"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 Jun 19, 2026; 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.