Individual provider Active NPI

Alycia Ann Chiaramonti, O.D.

  • Optometrist
  • Leesburg, FL
National Provider Identifier
1659722874
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 5205 Issued in FL
Practice address
10601 US Highway 441
Leesburg, FL 34788-7237
Phone
(352) 360-0051
NPI assigned
Jun 29, 2016
Last updated
Oct 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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 5205 FL Primary

Addresses

Primary practice location

10601 US Highway 441
Leesburg, FL 34788-7237

Mailing address

10601 US Highway 441
Leesburg, FL 34788-7237
Phone (352) 360-0051

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
I20170722000249 FL Practitioner - Optometry 2860762952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

586 N Hwy 27/441
Lady Lake, FL 32159-3776
Phone (352) 350-5298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 5205FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Eye Doctors Optical Outlets, PA Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Eye Doctors Optical Outlets Optometrist Past Accepting new patients

Locations

2391 S US Highway 27
Clermont, FL 34711
Phone (352) 988-2459

3324 W University Ave
Ste A
Gainesville, FL 32607
Phone (352) 240-0801

3922 S Suncoast Blvd
Homosassa Springs, FL 34448
Phone (352) 621-7528

10601 US Highway 441
Leesburg, FL 34788
Phone (352) 360-0051

10601 US Highway 441
Ste C8
Leesburg, FL 34788

2393 SW College Rd
Ocala, FL 34471
Phone (352) 291-5098

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

6244 Commercial Way
Weeki Wachee, FL 34613
Phone (352) 597-3205

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1659722874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347887237",
            "telephone_number": "352-360-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347887237",
            "telephone_number": "352-360-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARAMONTI",
        "first_name": "ALYCIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.