Individual provider Active NPI

Ingrid Simshauser, O.D.

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1174690705
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2768 Issued in FL
Practice address
2750 W 68TH St
#115
Hialeah, FL 33016-5446
Phone
(305) 819-3937
Fax
(305) 819-0816
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2768 FL Primary

Addresses

Primary practice location

2750 W 68TH St
#115
Hialeah, FL 33016-5446

Mailing address

6365 Collins Ave
#4408
Miami Beach, FL 33141-9620
Phone (305) 450-7273

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
I20051008000181 FL Practitioner - Optometry 6608891676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Health Management LLC Past Accepting new patients
Geriatric Hearts of Florida LLC Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1174690705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6365 COLLINS AVE",
            "address_2": "#4408",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331419620",
            "telephone_number": "305-450-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W 68TH ST",
            "address_2": "#115",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165446",
            "telephone_number": "305-819-3937",
            "fax_number": "305-819-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMSHAUSER",
        "first_name": "INGRID",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.