Individual provider Active NPI

Giselle Sankar, OD

  • Optometrist
  • North Miami Beach, FL
National Provider Identifier
1407696305
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6459 Issued in FL
Practice address
16855 NE 2ND Ave Ste 302
North Miami Beach, FL 33162-1744
Phone
(732) 915-8206
NPI assigned
May 29, 2024
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6459 FL Primary

Addresses

Primary practice location

16855 NE 2ND Ave Ste 302
North Miami Beach, FL 33162-1744

Mailing address

2555 Tanner Ter
Kissimmee, FL 34743-6118

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
I20240917000262 FL Practitioner - Optometry 1254872344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Patterson Rd
Haines City, FL 33844-7840
Phone (863) 421-4280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6459FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists of Mid Florida PA Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Eye Specialists of Mid Florida, PA CurrentSince Sep 1, 2024 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: giselle.sankar@esmf.direct.eyemdemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1407696305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 TANNER TER",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347436118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16855 NE 2ND AVE STE 302",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621744",
            "telephone_number": "732-915-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKAR",
        "first_name": "GISELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.