Active NPI
Consuelo Sese, OD
- Optometrist
- Miami, FL
National Provider Identifier
1245306604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4174
- Practice address
- 7352 NW 34TH St
Miami, FL 33122-1266 - Phone
- (305) 418-2025
- Fax
- (305) 675-8195
- NPI assigned
- Nov 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4174 | FL | Primary |
Addresses
Primary practice location
7352 NW 34TH St
Miami, FL 33122-1266
Mailing address
1460 W Golfview Dr
Pembroke Pines, FL 33026-3121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC4174 | Other | FL | OPTOMETRIC LICENSE |
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 Compare- Specialty
- Optometry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14750 NW 77TH CT
Suite 110
Miami Lakes, FL 33016-1507
Phone (305) 456-7313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4174 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Briceno Martin P.a. | Optometrist | Current | Accepting new patients |
| Sidney J Stern Visual Health Centers PA | Optometrist | Past | Accepting new patients |
Locations
14750 NW 77th Ct
Ste 110
Miami Lakes, FL 33016
Phone (305) 456-7313
Interoperability endpoints
- drsese@lakesfamilyeye.direct.eyemdemr.com
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.
-
- Optometrist
- Miami Lakes, FL
- NPI 1386156081
-
- Optometrist
- Miami, FL
- NPI 1134621402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245306604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 W GOLFVIEW DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330263121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7352 NW 34TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331221266",
"telephone_number": "305-418-2025",
"fax_number": "305-675-8195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SESE",
"first_name": "CONSUELO",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRIC LICENSE",
"identifier": "OPC4174",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.