Individual provider Active NPI

Emy Feliciano, OD

  • Optometrist
  • Oviedo, FL
National Provider Identifier
1962517821
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3887 Issued in FL
Practice address
171 S Central Ave
Oviedo, FL 32765-9027
Phone
(407) 359-8016
Fax
(407) 359-4129
NPI assigned
Aug 20, 2006
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3887 FL Primary

Addresses

Primary practice location

171 S Central Ave
Oviedo, FL 32765-9027

Mailing address

171 S Central Ave
Oviedo, FL 32765-9027
Phone (407) 359-8016

Other identifiers 1

IdentifierTypeStateIssuer
620946701MedicaidFL

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
I20040921000772 FL Practitioner - Optometry 8628046265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

171 S Central Ave
Oviedo, FL 32765-9027
Phone (407) 359-8016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 1, 2007 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 1, 2007 Accepting new patients

Locations

4980 E Colonial Dr
Orlando, FL 32803
Phone (407) 895-6254

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1962517821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 S CENTRAL AVE",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659027",
            "telephone_number": "407-359-8016",
            "fax_number": "407-359-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 S CENTRAL AVE",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659027",
            "telephone_number": "407-359-8016",
            "fax_number": "407-359-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "EMY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620946701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.