Individual provider Active NPI

Nelsa Chacon Losada, OD PA

  • Optometrist
  • Orlando, FL
National Provider Identifier
1780717017
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2539 Issued in FL
Practice address
6001 Vineland Rd
Ste 105
Orlando, FL 32819-7829
Phone
(407) 370-6800
Fax
(407) 370-6823
NPI assigned
Mar 14, 2007
Last updated
Sep 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2539 FL Primary

Addresses

Primary practice location

6001 Vineland Rd
Ste 105
Orlando, FL 32819-7829

Mailing address

6001 Vineland Rd
Ste 105
Orlando, FL 32819-7829
Phone (407) 370-6800

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
I20140212000575 FL Practitioner - Optometry 7315176443 Practice locations: Orlando, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6001 Vineland Rd
Suite 105
Orlando, FL 32819-7829
Phone (407) 370-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2539FLMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1780717017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 VINELAND RD",
            "address_2": "STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197829",
            "telephone_number": "407-370-6800",
            "fax_number": "407-370-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 VINELAND RD",
            "address_2": "STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197829",
            "telephone_number": "407-370-6800",
            "fax_number": "407-370-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSADA",
        "first_name": "NELSA",
        "middle_name": "CHACON",
        "credential": "OD PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.