Joseph A Kesselman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4993 Issued in FL

Practice address

11605 Pines Blvd
Lenscrafters at Macy'S
Pembroke Pines, FL 33026

Phone

(954) 438-2427

Fax

(305) 850-3801

NPI assigned

Nov 4, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: joseph.kesselman@uprisedirect.com

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.

• Kesselman Eye Care Inc

  • Optometrist
  • North Miami, FL
  • NPI 1518339407
  NPD (past) Authorized official
• Usv Optical Inc.

  • Eyewear Supplier
  • Naples, FL
  • NPI 1750394086
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)
• Usv Optical Inc

  • Eyewear Supplier
  • Blackwood, NJ
  • NPI 1578891008

  Optometrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1275939100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 PINES BLVD",
            "address_2": "LENSCRAFTERS AT MACY'S",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "305-850-3800",
            "fax_number": "305-850-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 PINES BLVD",
            "address_2": "LENSCRAFTERS AT MACY'S",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-438-2427",
            "fax_number": "305-850-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2076 9th St N",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341024895",
            "country_code": "US",
            "telephone_number": "239-430-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19501 NW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330562521",
            "country_code": "US",
            "telephone_number": "305-850-3800",
            "fax_number": "305-850-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSELMAN",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002967",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Brunhille Kellier-Dunn, AGPCNP-BC
• Ryan Kelly, MD
• Kennedy Vision PA
• Caleb Joseph Kennedy, O.D.
• Christina Kerns, CRNA
• Leonard Paul Kessler
• Jessica Ketterer, PH.D.
• Elia Khalaf
• Yaser Sorosh Khalid, DO
• Aneesa Khan, PHARMD

• Optometrist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.

Verify at the official NPI Registry.