Individual provider Active NPI

Yenismar Cabrera, OD

  • Optometrist
  • Doral, FL
National Provider Identifier
1407748296
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6795 Issued in FL
Practice address
10674 NW 19TH St
Doral, FL 33172-2542
Phone
(305) 649-4011
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC6795 FL
Optometrist 152W00000X OPC6795 FL Primary

Addresses

Primary practice location

10674 NW 19TH St
Doral, FL 33172-2542

Mailing address

1051 SE Spinnaker Ave
Port Saint Lucie, FL 34983-4035
Phone (786) 253-2607

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
I20251023004069 FL Practitioner - Optometry 5698263382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1153 16TH St
Bedford, IN 47421-2311

2900 W Cypress Creek Rd
Suite 4
Fort Lauderdale, FL 33309-1715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6795FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Poh Doral LLC CurrentSince Jul 22, 2025 Accepting new patients
Yc Clearly LLC Optometrist CurrentSince Aug 10, 2025 Accepting new patients
South Florida Vision Services, Inc. Optometrist CurrentSince Sep 1, 2025 Accepting new patients

Locations

10674 NW 19th St
Doral, FL 33172
Phone (305) 649-4011

2900 W Cypress Creek Rd
Ste 4
Ft Lauderdale, FL 33309
Phone (954) 676-8446

2900 W Cypress Creek Rd
Ste 1
Ft Lauderdale, FL 33309
Phone (954) 977-0192

12550 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 430-4030

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1407748296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 SE SPINNAKER AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349834035",
            "telephone_number": "786-253-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10674 NW 19TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722542",
            "telephone_number": "305-649-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "YENISMAR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC6795",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.