Individual provider Active NPI

Leann J. Mandese, O.D.

  • Optometrist
  • Indian Harbour Beach, FL
National Provider Identifier
1740271642
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP3125 Issued in FL
Practice address
2194 A1A Hwy
Suite 109
Indian Harbour Beach, FL 32937-4930
Phone
(321) 777-1670
Fax
(321) 773-0187
NPI assigned
Oct 31, 2005
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 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 OP3125 FL Primary

Addresses

Primary practice location

2194 A1A Hwy
Suite 109
Indian Harbour Beach, FL 32937-4930

Mailing address

2194 Highway A1A Ste 109-110
Indian Harbour Beach, FL 32937-4930
Phone (321) 777-1670

Other identifiers 1

IdentifierTypeStateIssuer
1548473887OtherFLORGANIZATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 1027@atlantisvisioncenter.emadirect.md Direct

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
I20080716000343 FL Practitioner - Optometry 9133292600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2194 Hwy A1A
Suite 109
Indian Harbour Beach, FL 32937-4955
Phone (321) 777-1670

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as individual
Quality
83.33
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP3125FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Leann J Mandese OD PA Optometrist CurrentSince Jun 1, 2007 Accepting new patients
Eyewearllc Past Accepting new patients
Florida Eye Consultants Inc PastSince Jan 26, 1998 Accepting new patients

Locations

2194 Highway A1A
Ste 109
Indian Harbour Beach, FL 32937
Phone (321) 777-1640

Interoperability endpoints

  • Direct secure messaging: 1027@atlantisvisioncenter.emadirect.md

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, 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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1740271642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 HIGHWAY A1A STE 109-110",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374930",
            "telephone_number": "321-777-1670",
            "fax_number": "321-773-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 A1A HWY",
            "address_2": "SUITE 109",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374930",
            "telephone_number": "321-777-1670",
            "fax_number": "321-773-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDESE",
        "first_name": "LEANN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP3125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION",
            "identifier": "1548473887",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "1027@atlantisvisioncenter.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2194 A1A Hwy",
            "address_2": "Suite 109",
            "city": "Indian Harbour Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329374930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

Verify at the official NPI Registry.