Charlene Yadira Pineda, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5153 Issued in FL

Practice address

167 N Industrial Dr
Orange City, FL 32763-7414

Phone

(386) 917-1001

Fax

(386) 917-1008

NPI assigned

Feb 1, 2016

Last updated

Feb 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Florida's Vision Quest, Inc

  • Optometrist
  • Orange City, FL
  • NPI 1336584176
  NPD (past)

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1477911790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 N INDUSTRIAL DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637414",
            "telephone_number": "386-917-1001",
            "fax_number": "386-917-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 N INDUSTRIAL DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637414",
            "telephone_number": "386-917-1001",
            "fax_number": "386-917-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "CHARLENE",
        "middle_name": "YADIRA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Medicine and Rehabilitation, PA
• Physician First Management Co. LLC
• Carhine Pierre-Lambert, MD
• Madelynn Pietroburgo
• Amy Pike
• Manuel Plaza-Luciano, M.D.
• Sydney Marie Plumley, APRN
• Stefanie Polanco, OTR/L
• Timothy D Poppell, DMD
• Christy Powell, NP

• Optometrist in Orange City, FL
• Providers in Orange City, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.