Individual provider Active NPI

Carolina Pedroletti, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1659389005
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4050 Issued in FL
Practice address
8353 SW 124TH St Ste 106
Miami, FL 33156-5847
Phone
(305) 233-2040
NPI assigned
Aug 3, 2006
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4050 FL Primary

Addresses

Primary practice location

8353 SW 124TH St Ste 106
Miami, FL 33156-5847

Mailing address

8353 SW 124TH St Ste 106
Miami, FL 33156-5847
Phone (305) 233-2040

Other identifiers 1

IdentifierTypeStateIssuer
621076700MedicaidFL

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
I20051122000194 FL Practitioner - Optometry 1951320795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanessa C. Marino, O.D., P.a.Group PAC ID 9436375573, 2 clinicians

Practice addresses (Care Compare)

8353 SW 124TH St
Miami, FL 33156-5847
Phone (305) 233-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4050FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa C. Marino, O.D., P.a. CurrentSince Aug 1, 2020 Accepting new patients
Robert a Grand OD PA Optometrist PastSince Aug 1, 2020 Accepting new patients

Locations

8353 SW 124th St
Ste 106
Miami, FL 33156
Phone (305) 233-2040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1659389005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8353 SW 124TH ST STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565847",
            "telephone_number": "305-233-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8353 SW 124TH ST STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565847",
            "telephone_number": "305-233-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROLETTI",
        "first_name": "CAROLINA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621076700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.