Individual provider Active NPI

Consuelo Sese, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1245306604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4174 Issued in FL
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

Updated by the provider on Jul 8, 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 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

IdentifierTypeStateIssuer
OPC4174OtherFLOPTOMETRIC 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000563 FL Practitioner - Optometry 0648272724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Briceno Martin PAGroup PAC ID 9830450931, 2 clinicians

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

LicenseStateTypeSpecialty
OPC4174FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Briceno Martin P.a. Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Sidney J Stern Visual Health Centers PA Optometrist PastSince Sep 15, 2008 Accepting new patients

Locations

14750 NW 77th Ct
Ste 110
Miami Lakes, FL 33016
Phone (305) 456-7313

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.