Individual provider Active NPI

Yissell Sanchez Acosta, O.D.

  • Optometrist
  • Palm Beach Gardens, FL
National Provider Identifier
1629325584
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4713 Issued in FL
Practice address
3502 Kyoto Gardens Dr Ste B
Palm Beach Gardens, FL 33410-2899
Phone
(561) 630-7120
NPI assigned
Aug 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4713 FL Primary

Addresses

Primary practice location

3502 Kyoto Gardens Dr Ste B
Palm Beach Gardens, FL 33410-2899

Mailing address

3502 Kyoto Gardens Dr Ste B
Palm Beach Gardens, FL 33410-2899
Phone (561) 630-7120

Other names 1

  • Dr. Yissell Sanchez Professional 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
I20130826000332 FL Practitioner - Optometry 5991948820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David a. Goldman MD, LLCGroup PAC ID 0143470088, 5 clinicians

Practice addresses (Care Compare)

3502 Kyoto Gardens Dr
Suite B
Palm Beach Gardens, FL 33410-2899
Phone (561) 630-7120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Goldman MD, LLC CurrentSince Sep 1, 2015 Accepting new patients
Palm Beach Eye Center Inc PastSince Jul 2, 2013 Accepting new patients
Eye Physicians of Florida LLP PastSince Sep 1, 2015 Accepting new patients

Locations

3502 Kyoto Gardens Dr
Ste B
Palm Beach Gardens, FL 33410
Phone (561) 630-7120

Interoperability endpoints

  • FHIR API: https://goldman.mmi.prod.fhir.ema-api.com/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1629325584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 KYOTO GARDENS DR STE B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102899",
            "telephone_number": "561-630-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 KYOTO GARDENS DR STE B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102899",
            "telephone_number": "561-630-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ ACOSTA",
        "first_name": "YISSELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YISSELL",
            "last_name": "SANCHEZ",
            "prefix": "DR.",
            "credential": "O.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.