Michelle Nicole De Leon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4703 Issued in FL

Practice address

10101 W Flagler St
Miami, FL 33174-1808

Phone

(305) 424-8451

Fax

(305) 424-8526

NPI assigned

Aug 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.deleon.p1@direct.caremax.nextgenshare.com

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.

• Clinica Las Mercedes, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1326090960
  Medicare reassignment NPD
• Clinica Las Mercedes, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1467930941
  NPD
• Clinica Las Mercedes, LLC

  • Multi-Specialty Clinic/Center
  • Tamarac, FL
  • NPI 1518673565
  NPD
• Sidney J Stern Visual Health Centers PA

  • Optometrist
  • Miami, FL
  • NPI 1134621402
  NPD (past)

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1760739809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 W FLAGLER ST",
            "address_2": "TARGET OPTICAL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741808",
            "telephone_number": "305-424-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741808",
            "telephone_number": "305-424-8451",
            "fax_number": "305-424-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "MICHELLE",
        "middle_name": "NICOLE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyara De Leon
• Lester Manuel De Leon, M.D.
• Limaris De Leon
• Marilin De Leon, D.O.
• Marta De Leon
• Rolando J De Leon, M.D.
• Thelma L De Leon
• Victor De Leon
• Christophe De Lespinasse
• Kristine Marie De Llanos, RN

• Optometrist in Miami, FL
• Providers in Miami, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.