Individual provider Active NPI

Stephanie Cuellar, O.D.

  • Optometrist
  • West Palm Beach, FL
National Provider Identifier
1457082695
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6109 Issued in FL
Practice address
2000 Palm Beach Lakes Blvd Ste 400
West Palm Beach, FL 33409-6504
Phone
(561) 500-2020
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPC6109 FL Primary

Addresses

Primary practice location

2000 Palm Beach Lakes Blvd Ste 400
West Palm Beach, FL 33409-6504

Mailing address

4750 121St Ter N
Royal Palm Beach, FL 33411-8902
Phone (561) 797-2231

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL scuellar@mittlemaneye.com Direct

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
I20221202002933 FL Practitioner - Optometry 9436528064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mittleman Eye Center PAGroup PAC ID 8628974730, 10 clinicians

Practice addresses (Care Compare)

601 University Blvd
Jupiter, FL 33458-2788
Phone (561) 500-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6109FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mittleman Eye Center PA CurrentSince Aug 30, 2022 Accepting new patients
Mittleman Eye Center PA Multi-Specialty CurrentSince Aug 30, 2022 Accepting new patients

Locations

601 University Blvd
Ste 101
Jupiter, FL 33458
Phone (561) 404-5030

2000 Palm Beach Lakes Blvd
Ste 400
West Palm Beach, FL 33409
Phone (561) 478-2015

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: scuellar@mittlemaneye.intellechartdirect.net

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1457082695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 121ST TER N",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118902",
            "telephone_number": "561-797-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD STE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096504",
            "telephone_number": "561-500-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELLAR",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "scuellar@mittlemaneye.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 Palm Beach Lakes Blvd Ste 400",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334096504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.