Individual provider Active NPI

Reenal Sharma, O.D.

  • Optometrist
  • Windermere, FL
National Provider Identifier
1750663357
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4655 Issued in FL
Practice address
6538 Cartmel LN
Windermere, FL 34786-5423
Phone
(407) 421-9850
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4655 FL Primary

Addresses

Primary practice location

6538 Cartmel LN
Windermere, FL 34786-5423

Mailing address

6538 Cartmel LN
Windermere, FL 34786-5423
Phone (407) 421-9850

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
I20111104000221 FL Practitioner - Optometry 9335312461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Oct 1, 2011 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Oct 1, 2011 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients

Locations

1150 E Vine St
Kissimmee, FL 34744
Phone (407) 931-2012

9428 W Colonial Dr
Ocoee, FL 34761
Phone (407) 291-1921

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

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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1750663357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6538 CARTMEL LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865423",
            "telephone_number": "407-421-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6538 CARTMEL LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865423",
            "telephone_number": "407-421-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "REENAL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.