Individual provider Active NPI

Stephanie M Castellanos, OD

  • Optometrist
  • Homestead, FL
National Provider Identifier
1306511944
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5983 Issued in FL
Practice address
28 N Homestead Blvd
Homestead, FL 33030-7416
Phone
(305) 247-2334
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5983 FL Primary

Addresses

Primary practice location

28 N Homestead Blvd
Homestead, FL 33030-7416

Mailing address

19865 SW 130TH Ave
Miami, FL 33177-4283
Phone (786) 473-6536

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
I20210907001903 FL Practitioner - Optometry 5890191464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Vision Unlimited LLCGroup PAC ID 2264695436, 5 clinicians

Practice addresses (Care Compare)

13852 SW 88TH St
Miami, FL 33186-1304
Phone (305) 662-2990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick del Vecchio PA Optometrist CurrentSince Aug 23, 2021 Accepting new patients
New Vision Unlimited LLC Optometrist CurrentSince Dec 20, 2022 Accepting new patients

Locations

28 N Homestead Blvd
Homestead, FL 33030
Phone (305) 247-2334

13852 SW 88th St
Miami, FL 33186
Phone (305) 385-6885

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1306511944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19865 SW 130TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774283",
            "telephone_number": "786-473-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N HOMESTEAD BLVD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330307416",
            "telephone_number": "305-247-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.