Individual provider Active NPI

Haisel Villalonga, O.D.

  • Optometrist
  • Plantation, FL
National Provider Identifier
1922331735
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4441 Issued in FL
Practice address
1801 SW 69TH Ave
Plantation, FL 33317-5026
Phone
(786) 285-4463
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4441 FL
Optometrist 152W00000X OPC 4441 FL Primary

Addresses

Primary practice location

1801 SW 69TH Ave
Plantation, FL 33317-5026

Mailing address

1801 SW 69TH Ave
Plantation, FL 33317-5026
Phone (786) 285-4463

Other practice location 1

1205 SW 37th Ave
Miami, FL 33135-4226
Phone (786) 683-9441

Other practice location 2

8700 W Flagler St
Miami, FL 33174-2401
Phone (786) 683-9441

Other practice location 3

750 S Federal Hwy
Hollywood, FL 33020-5424
Phone (305) 303-0440

Other identifiers 2

IdentifierTypeStateIssuer
001230400MedicaidFL
8740OtherFLICARE

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
I20091031000014 FL Practitioner - Optometry 0840337440 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Doctors of Florida PA Optometrist CurrentSince Feb 27, 2019 Accepting new patients

Locations

3670 W Oakland Park Blvd
Lauderdale Lakes, FL 33311
Phone (305) 717-8181

Interoperability endpoints

  • Direct secure messaging: haisel.villalonga.p1@direct.caremax.nextgenshare.com

Organizations & group practices 1

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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1922331735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SW 69TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333175026",
            "telephone_number": "786-285-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SW 69TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333175026",
            "telephone_number": "786-285-4463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 SW 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331354226",
            "country_code": "US",
            "telephone_number": "786-683-9441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331742401",
            "country_code": "US",
            "telephone_number": "786-683-9441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 S Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330205424",
            "country_code": "US",
            "telephone_number": "305-303-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALONGA",
        "first_name": "HAISEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4441",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001230400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICARE",
            "identifier": "8740",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.