Individual provider Active NPI

Parisa Shoeibiomrani, OD

  • Optometrist
  • Altamonte Springs, FL
National Provider Identifier
1801569249
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5978 Issued in FL
Practice address
515 E Altamonte Dr Ste 1024
Altamonte Springs, FL 32701-4748
Phone
(407) 831-1330
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 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 OPC5978 FL Primary

Addresses

Primary practice location

515 E Altamonte Dr Ste 1024
Altamonte Springs, FL 32701-4748

Mailing address

5607 Johns Rd
Tampa, FL 33634-4499
Phone (407) 831-1330

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
I20210812001788 FL Practitioner - Optometry 9739583782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
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)

2510 S Washington Ave
Suite 140
Titusville, FL 32780-5043
Phone (321) 289-3504

515 E Altamonte Dr
Unit 1024
Altamonte Springs, FL 32701-4748
Phone (407) 831-1330

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 Jul 30, 2021 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jul 30, 2021 Accepting new patients

Locations

515 E Altamonte Dr
Ste 1024
Altamonte Springs, FL 32701
Phone (407) 831-1330

224 Towne Center Cir
Ste J7
Sanford, FL 32771

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

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1801569249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 JOHNS RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344499",
            "telephone_number": "407-831-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E ALTAMONTE DR STE 1024",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014748",
            "telephone_number": "407-831-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEIBIOMRANI",
        "first_name": "PARISA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.