Leonardo Coelho

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5608 Issued in FL

Practice address

4242 NW 68TH Way
Lauderhill, FL 33319-7324

Phone

(305) 788-8553

NPI assigned

Apr 29, 2017

Sex

Male

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 UT

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

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.

• Visionworks, Inc.

  • Optometrist
  • Salt Lake City, UT
  • NPI 1649203381
  Medicare reassignment
• Vision Health Center, Inc.

  • Optometrist
  • West Jordan, UT
  • NPI 1558487975
  NPD (past)
• Vision Health Center, Inc.

  • Optometrist
  • Murray, UT
  • NPI 1891301966
  NPD (past)

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

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1972038784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 NW 68TH WAY",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333197324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 NW 68TH WAY",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333197324",
            "telephone_number": "305-788-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COELHO",
        "first_name": "LEONARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-29",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gel Clerjuste
• Clervaud Speech Therapy Services Inc.
• Katia Clervaud, M.S.
• Rose Clervius
• Brittney Clifton
• Madison Gabrielle Coffey
• Sanique Cashane Cole Stephens, APRN
• Justin R Coleman, DC
• Lea Kerlinda Coley
• Colonial Assisted Living at Fort Lauderdale, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.