Individual provider Active NPI

Joannette Salas-Hernandez, O.D.

  • Optometrist
  • Winter Springs, FL
National Provider Identifier
1225252521
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3633 Issued in FL
Practice address
789 Seneca Meadows Rd
Winter Springs, FL 32708
Phone
(407) 346-0091
Fax
(407) 332-0644
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3633 FL
Optometrist 152W00000X 3633 FL Primary

Addresses

Primary practice location

789 Seneca Meadows Rd
Winter Springs, FL 32708

Mailing address

789 Seneca Meadows Road
Winter Springs, FL 32708
Phone (407) 346-0091

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
I20071001000656 FL Practitioner - Optometry 6800981259 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3633FLMDOptometrist
OPC3633FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Accessible Eye Care LLC Optometrist CurrentSince Nov 1, 2024 Accepting new patients

Locations

880 N Miramar Ave
Indialantic, FL 32903
Phone (321) 729-4340

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1225252521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 SENECA MEADOWS ROAD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "32708",
            "telephone_number": "407-346-0091",
            "fax_number": "407-332-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 SENECA MEADOWS RD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "32708",
            "telephone_number": "407-346-0091",
            "fax_number": "407-332-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS-HERNANDEZ",
        "first_name": "JOANNETTE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3633",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

Verify at the official NPI Registry.