Rena Cappelli, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3785 Issued in FL

Practice address

1536 N Jefferson St
Jopc Eye Clinic
Jacksonville, FL 32209-6525

Phone

(904) 475-6310

Fax

(904) 232-2381

NPI assigned

Jul 31, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1548276751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 N JEFFERSON ST",
            "address_2": "JOPC EYE CLINIC",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096525",
            "telephone_number": "904-475-6310",
            "fax_number": "904-232-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 N JEFFERSON ST",
            "address_2": "JOPC EYE CLINIC",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096525",
            "telephone_number": "904-475-6310",
            "fax_number": "904-232-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPELLI",
        "first_name": "RENA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "781732847A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6209106-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Capista, LMHC
• Ruth Capistrano, MS, RDN, LD
• Angelo Joseph Capobianco, PA
• David Capobianco, MD
• Amber Cappadona, ARNP
• Jessica Lynn Cappo, ARNP
• Crista Cappuccilli
• Capstone Home Healthcare LLC
• Capstone Primary Care, LLC
• Capsule Jacksonville LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.