Individual provider Active NPI

Ernesto Cepero, O.D.

  • Optometrist
  • Coral Gables, FL
National Provider Identifier
1255689691
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4698 Issued in FL
Practice address
1705 Coral Way
Coral Gables, FL 33145-2728
Phone
(305) 858-4085
Fax
(305) 858-4053
NPI assigned
Aug 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4698 FL Primary

Addresses

Primary practice location

1705 Coral Way
Coral Gables, FL 33145-2728

Mailing address

1705 Coral Way
Coral Gables, FL 33145-2728
Phone (305) 858-4085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cepero Eyecare Center, Inc Optometrist PastSince Mar 1, 2014 Accepting new patients

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1255689691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452728",
            "telephone_number": "305-858-4085",
            "fax_number": "305-858-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452728",
            "telephone_number": "305-858-4085",
            "fax_number": "305-858-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPERO",
        "first_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.