Individual provider Active NPI

Carla Iris Caballero-Ramos, OD

  • Optometrist
  • Orlando, FL
National Provider Identifier
1194041236
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4897 Issued in FL
Practice address
8101 S John Young Pkwy Ste DRC
Orlando, FL 32819-9021
Phone
(321) 251-3582
Fax
(407) 377-7645
NPI assigned
Apr 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 675 PR
Optometrist 152W00000X TUV008080 NY
Optometrist 152W00000X OPC4897 FL Primary

Addresses

Primary practice location

8101 S John Young Pkwy Ste DRC
Orlando, FL 32819-9021

Mailing address

5142 Hook Hollow Cir
Orlando, FL 32837-4913
Phone (407) 583-9372

Other practice location 1

5142 Hook Hollow Cir
Orlando, FL 32837-4913
Phone (407) 583-9372

Other identifiers 1

IdentifierTypeStateIssuer
652833MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130417000669 PR Practitioner - Optometry 4880830884 Practice locations: Guaynabo, PR
I20170523000594 FL Practitioner - Optometry 4880830884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
675PRMDNeurology Chiropractor
TUV008080NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Deal Optical LLC Optometrist CurrentSince Jan 23, 2017 Accepting new patients
Jimmy Nguyen OD PA Optometrist PastSince Jan 23, 2017 Accepting new patients

Locations

1204 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 408-5177

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ccaballero94596@mioptometra.emadirect.md

Organizations & group practices 2

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1194041236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 HOOK HOLLOW CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374913",
            "telephone_number": "407-583-9372",
            "fax_number": "407-377-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 S JOHN YOUNG PKWY STE DRC",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199021",
            "telephone_number": "321-251-3582",
            "fax_number": "407-377-7645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5142 Hook Hollow Cir",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328374913",
            "country_code": "US",
            "telephone_number": "407-583-9372",
            "fax_number": "407-377-7645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALLERO-RAMOS",
        "first_name": "CARLA",
        "middle_name": "IRIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "675",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008080",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "652833",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.