Gillian Mancuso Paula, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5498 Issued in FL

Practice address

12977 SW 112TH St
Miami, FL 33186-4769

Phone

(305) 386-3937

Fax

(305) 386-1494

NPI assigned

Sep 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

New England College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James D Hagen OD PAGroup PAC ID 3577460005, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• James D Hagen OD PA

  • Optometrist
  • Miami, FL
  • NPI 1942483144
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1972051506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657326",
            "telephone_number": "212-249-1976",
            "fax_number": "212-249-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12977 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864769",
            "telephone_number": "305-386-3937",
            "fax_number": "305-386-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULA",
        "first_name": "GILLIAN",
        "middle_name": "MANCUSO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008424",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilene Paul, MSN, FNP-C
• Yalien Paula Frontela
• Paula Perez Alf, Inc
• Aymee Paula, APRN
• Francisco Paula, ARNP
• Kristina Paula
• Mario R Paula, M.D.
• Michael Daniel Paula, DPM
• Nicole Burgos Paula, DPT
• Paula'S Mansion Alf, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.