Active NPI
Herman L Deanna, OD
- Optometrist
- Hialeah, FL
National Provider Identifier
1245204502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2749
- Practice address
- 7100 W 20TH Ave Ste 702
Hialeah, FL 33016-1824 - Phone
- (305) 825-3005
- Fax
- (305) 819-5887
- NPI assigned
- Feb 14, 2006
- 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 | OPC2749 | FL | Primary |
Addresses
Primary practice location
7100 W 20TH Ave Ste 702
Hialeah, FL 33016-1824
Mailing address
7100 W 20TH Ave Ste 702
Hialeah, FL 33016-1824
Phone (305) 825-3005
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620097400 | Medicaid | FL | |
| 5723570 | Other | FL | AETNA PIN |
| 810468 | Other | FL | EYEMED PIN |
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 |
|---|---|---|---|
| Herman L de Anna OD PA | Optometrist | Current | Accepting new patients |
Locations
1625 W 49th St
Hialeah, FL 33012
Phone (305) 364-3879
7100 W 20th Ave
Ste 702
Hialeah, FL 33016
Phone (305) 825-3005
7100 W 20th Ave
Ste 315
Hialeah, FL 33016
Phone (305) 557-6201
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.
-
- Optometrist
- Hialeah, FL
- NPI 1396954533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705795200000",
"number": "1245204502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 W 20TH AVE STE 702",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161824",
"telephone_number": "305-825-3005",
"fax_number": "305-819-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 W 20TH AVE STE 702",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161824",
"telephone_number": "305-825-3005",
"fax_number": "305-819-5887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANNA",
"first_name": "HERMAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2024-01-21",
"certification_date": "2024-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620097400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "5723570",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED PIN",
"identifier": "810468",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; 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.