Individual provider Active NPI

Cristina Piseu Sicoia, OD

  • Optometrist
  • Cooper City, FL
National Provider Identifier
1629014550
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3327 Issued in FL
Practice address
5540 S Flamingo Rd
Cooper City, FL 33330-2728
Phone
(954) 434-2020
Fax
(954) 434-2104
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3327 FL Primary

Addresses

Primary practice location

5540 S Flamingo Rd
Cooper City, FL 33330-2728

Mailing address

5540 S Flamingo Rd
Cooper City, FL 33330-2728
Phone (954) 434-2020

Other identifiers 1

IdentifierTypeStateIssuer
620998000MedicaidFL

Other names 1

  • Dr. Cristina Piseu Davis Former name

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
I20050629000673 FL Practitioner - Optometry 6901842046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5540 S Flamingo Rd
Cooper City, FL 33330-2728
Phone (954) 434-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3327FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visioncare Family Inc Optometrist CurrentSince Jun 1, 2006 Accepting new patients
Visual Health @ Ft. Lauderdale, Inc Optometrist Past Accepting new patients

Locations

5540 S Flamingo Rd
Cooper City, FL 33330
Phone (954) 434-2020

5542 S Flamingo Rd
Cooper City, FL 33330
Phone (954) 434-2020

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1629014550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 S FLAMINGO RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333302728",
            "telephone_number": "954-434-2020",
            "fax_number": "954-434-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 S FLAMINGO RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333302728",
            "telephone_number": "954-434-2020",
            "fax_number": "954-434-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICOIA",
        "first_name": "CRISTINA",
        "middle_name": "PISEU",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620998000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "DAVIS",
            "middle_name": "PISEU",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cooper City, FL

Sources for this page

Verify at the official NPI Registry.