Individual provider Active NPI

Chelsea Ariel Nissinoff, OD

  • Optometrist
  • St Augustine, FL
National Provider Identifier
1720715634
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6167 Issued in FL
Practice address
161 Hampton Point Dr Ste 3
St Augustine, FL 32092-3058
Phone
(904) 287-9137
Fax
(904) 287-9057
NPI assigned
Aug 2, 2022
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6167 FL Primary

Addresses

Primary practice location

161 Hampton Point Dr Ste 3
St Augustine, FL 32092-3058

Mailing address

278 Weathered Edge Dr
St Augustine, FL 32092-7656
Phone (607) 283-1182

Other names 1

  • Dr. Chelsea Ariel Brafman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cnissinoff@eapinellas.intellechartdirect.net Southeast Eye Institute, PA

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
I20220912001951 FL Practitioner - Optometry 6103201108 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Care Florida, LLCGroup PAC ID 0749595338, 2 clinicians

Practice addresses (Care Compare)

5005 Manatee Ave W
Bradenton, FL 34209-3857
Phone (941) 794-1315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6167FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc CurrentSince Jul 1, 2022 Accepting new patients
Southeast Eye Institute, PA Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Aug 21, 2022 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist Current Accepting new patients
Vision Care Florida, LLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
St Johns Eye Associates PA Optometrist CurrentSince Jun 15, 2023 Accepting new patients
St Johns Eye Associates PA Optometrist CurrentSince Jun 15, 2023 Accepting new patients
Nova Southeastern University, Inc Optometrist Current Accepting new patients
St Johns Eye Associates PA Optometrist Current Accepting new patients
Nova Southeastern University Inc. CurrentSince Jul 1, 2022 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Sep 2, 2025 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Sep 2, 2025 Accepting new patients
National Vision, Inc. Past Accepting new patients
Walter F Rutkowsky O D PA Optometrist PastSince Sep 1, 2025 Accepting new patients

Locations

5005 Manatee Ave W
Bradenton, FL 34209
Phone (941) 794-1315

135 W Robertson St
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

1111 W Broward Blvd
Ft Lauderdale, FL 33312
Phone (954) 463-7313

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

2039 Hendricks Ave
Ste 213
Jacksonville, FL 32207
Phone (904) 560-6962

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

3345 S Congress Ave
Palm Springs, FL 33461
Phone (561) 964-0220

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

200 Nocatee Village Dr
Ponte Vedra Beach, FL 32081
Phone (904) 682-9094

612 N US Highway 41
Fl Eye
Ruskin, FL 33570
Phone (813) 645-3831

150 Village Commons Dr
Ste A102
Saint Augustine, FL 32092
Phone (904) 530-9802

161 Hampton Point Dr
Ste 3
Saint Augustine, FL 32092
Phone (904) 204-3345

13161 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 597-0410

1701 Rickenbacker Dr
Ste 102
Sun City Center, FL 33573
Phone (813) 634-8877

3830 Sun City Center Blvd
Sun City Center, FL 33573

3830 Sun City Center Blvd
Ste 105
Sun City Center, FL 33573
Phone (813) 634-6155

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cnissinoff@eapinellas.intellechartdirect.net
  • Direct secure messaging: cnissinoff@floridaeye.intellechartdirect.net

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1720715634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 WEATHERED EDGE DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320927656",
            "telephone_number": "607-283-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HAMPTON POINT DR STE 3",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923058",
            "telephone_number": "904-287-9137",
            "fax_number": "904-287-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSINOFF",
        "first_name": "CHELSEA",
        "middle_name": "ARIEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnissinoff@eapinellas.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Southeast Eye Institute, PA",
            "address_1": "3830 Sun City Center Blvd Ste N105",
            "city": "Sun City Center",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335736820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "BRAFMAN",
            "middle_name": "ARIEL",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.