Individual provider Active NPI

Candice Nicole Mansito, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1730530056
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5204 Issued in FL
Practice address
1097 S Le Jeune Rd
Miami, FL 33134-2639
Phone
(305) 442-2020
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5204 FL Primary
Corneal and Contact Management Optometrist 152WC0802X OPC5204 FL

Addresses

Primary practice location

1097 S Le Jeune Rd
Miami, FL 33134-2639

Mailing address

2896 S Edgehill LN
Hollywood, FL 33026-3773
Phone (786) 486-5228

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
I20170509002464 FL Practitioner - Optometry 4981991908 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
Jeffrey E Sager OD PAGroup PAC ID 8224194121, 3 clinicians

Practice addresses (Care Compare)

823 N Nob Hill Rd
Plantation, FL 33324-1038
Phone (954) 476-7631

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5204FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey E Sager OD PA Corneal and Contact Management CurrentSince Feb 9, 2018 Accepting new patients
Analisa Arosemena MD, P.a. Past Accepting new patients
Aran Eye Associates PA Past Accepting new patients

Locations

823 N Nob Hill Rd
Plantation, FL 33324
Phone (954) 476-7631

Interoperability endpoints

  • Direct secure messaging: candice.mansitood.p1@direct.araneyeassociates.nextgenshare.com

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1730530056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 S EDGEHILL LN",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330263773",
            "telephone_number": "786-486-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 S LE JEUNE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331342639",
            "telephone_number": "305-442-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSITO",
        "first_name": "CANDICE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5204",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC5204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.