Individual provider Active NPI

Daniela Fernandez

  • Optometrist
  • Sebring, FL
National Provider Identifier
1356032239
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6282 Issued in FL
Practice address
5032 US Highway 27 N
Sebring, FL 33870-1354
Phone
(863) 382-3900
NPI assigned
May 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6282 FL Primary

Addresses

Primary practice location

5032 US Highway 27 N
Sebring, FL 33870-1354

Mailing address

4900 SW 97TH Ave
Miami, FL 33165-6323
Phone (305) 439-8754

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
I20230717002434 FL Practitioner - Optometry 9032579404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists of Mid Florida PAGroup PAC ID 8022003235, 15 clinicians

Practice addresses (Care Compare)

5032 US Hwy 27 N
Sebring, FL 33870-1354
Phone (863) 382-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6282FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists of Mid Florida, PA CurrentSince Jul 10, 2023 Accepting new patients
Eye Specialists of Mid Florida PA Optometrist CurrentSince Jul 10, 2023 Accepting new patients
Eye Specialists of Mid Florida, PA Past Accepting new patients

Locations

202 Magnolia Ave
Auburndale, FL 33823
Phone (863) 294-3504

1050 US Highway 27
Ste 1
Clermont, FL 34714
Phone (352) 394-8705

100 Patterson Rd
Haines City, FL 33844
Phone (863) 294-3504

2800 Ridge Way
Ste 100
Lake Wales, FL 33859
Phone (863) 676-2008

2004 E County Road 540A
Lakeland, FL 33813
Phone (863) 294-3504

3350 Harden Blvd
Lakeland, FL 33803
Phone (863) 294-3504

5032 US 27 N
Sebring, FL 33870
Phone (863) 382-3900

407 Avenue K SE
Winter Haven, FL 33880
Phone (863) 294-3504

Interoperability endpoints

  • Direct secure messaging: daniela.fernandez@esmf.direct.eyemdemr.com

Organizations & group practices 6

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": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1356032239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656323",
            "telephone_number": "305-439-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5032 US HIGHWAY 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701354",
            "telephone_number": "863-382-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "DANIELA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.