Active NPI
Alyssa Perlman-Hensen, O.D.
- Optometrist
- Daytona Beach, FL
National Provider Identifier
1154842961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CPC5617
- Practice address
- 1900 Mason Ave Suite 100
Daytona Beach, FL 32117 - Phone
- (386) 274-5525
- Fax
- (803) 434-1581
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2034 | SC | |
| Optometrist | 152W00000X | 5214 | MA | |
| Corneal and Contact Management Optometrist | 152WC0802X | 5214 | MA | |
| Optometrist | 152W00000X | CPC5617 | FL | Primary |
Addresses
Primary practice location
1900 Mason Ave Suite 100
Daytona Beach, FL 32117
Mailing address
1900 Mason Ave Suite 100
Daytona Beach, FL 32117
Phone (386) 274-5525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110772100 | Medicaid | FL | |
| D20341 | Medicaid | SC |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.04 of 100
- Quality
- 97.77
- Improvement activities
- 40
- Cost
- 53.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPC5617 | FL | MD | Optometrist |
| 5214 | MA | MD | Corneal and Contact Management Optometrist |
| 2034 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Filutowski Eye Institute PA | Current | Accepting new patients | |
| Filutowski Eye Institute PA | Current | Accepting new patients | |
| Filutowski Eye Institute PA | Current | Accepting new patients | |
| Vision One Inc | Optometrist | Past | Accepting new patients |
| F Mason Smith | Optometrist | Past | Accepting new patients |
| Vision One Inc | Optometrist | Past | Accepting new patients |
Locations
110 Yorktowne Dr
Daytona Beach, FL 32119
Phone (386) 788-6696
1070 Greenwood Blvd
Lake Mary, FL 32746
Phone (407) 333-1537
2295 S Hiawassee Rd
Ste 101
Orlando, FL 32835
Phone (407) 902-2533
Networks
- Freedom Health HMO Network
Interoperability endpoints
- alyssa.perlmanhensen.p3@direct.fcli.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Clinic/Center
- Daytona Beach, FL
- NPI 1306910385
-
- Clinic/Center
- Orlando, FL
- NPI 1134290356
-
- Clinic/Center
- Lake Mary, FL
- NPI 1760557102
-
- Optometrist
- Port Orange, FL
- NPI 1467538272
-
- Optometrist
- Daytona Beach, FL
- NPI 1952314346
-
- Optometrist
- Mt Pleasant, SC
- NPI 1477795722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1154842961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 MASON AVE SUITE 100",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "32117",
"telephone_number": "386-274-5525",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 MASON AVE SUITE 100",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "32117",
"telephone_number": "386-274-5525",
"fax_number": "803-434-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLMAN-HENSEN",
"first_name": "ALYSSA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2034",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5214",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MA",
"license": "5214",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "CPC5617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110772100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D20341",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.