Kelli Nicole Conesa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4742 Issued in FL

Practice address

1661 SW 37TH Ave
#102
Miami, FL 33145-1754

Phone

(305) 663-3265

Fax

(305) 663-2698

NPI assigned

Sep 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chrycy Eye Group Inc

  • Optometrist
  • Miami, FL
  • NPI 1588299713
  Medicare reassignment NPD

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1386994044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 SW 37TH AVE",
            "address_2": "#102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451754",
            "telephone_number": "305-663-3265",
            "fax_number": "305-663-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 SW 37TH AVE",
            "address_2": "#102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451754",
            "telephone_number": "305-663-3265",
            "fax_number": "305-663-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONESA",
        "first_name": "KELLI",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Condor Medical Equipment, Inc.
• Conectakids Therapy Solutions, LLC
• Isley Conejero
• Christine Conesa
• Jose A Conesa, D.O.
• Mercedes Conesa
• Romer Conesa
• Sophia Isabella Conesa
• Kiara Coney
• Tammy Coney

• Optometrist in Miami, FL
• Providers in Miami, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.