Individual provider Active NPI

Cecilia Wong Tesinsky, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1982710273
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3843 Issued in FL
Practice address
12001 Avalon Lake Dr
Suite J
Orlando, FL 32828-7375
Phone
(407) 567-9955
NPI assigned
Aug 21, 2006
Last updated
May 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3843 FL Primary

Addresses

Primary practice location

12001 Avalon Lake Dr
Suite J
Orlando, FL 32828-7375

Mailing address

12001 Avalon Lake Dr
Suite J
Orlando, FL 32828-7375
Phone (407) 567-9955

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
I20091210000594 FL Practitioner - Optometry 9436299161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avalon Park Eye Care, LLCGroup PAC ID 7719027440, 2 clinicians

Practice addresses (Care Compare)

12001 Avalon Lake Dr
J
Orlando, FL 32828-7399
Phone (407) 567-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3843FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Avalon Park Eye Care, LLC Optometrist CurrentSince Aug 1, 2009 Accepting new patients
Howard J Sakowitz MD PA PastSince Dec 19, 1997 Accepting new patients

Locations

12001 Avalon Lake Dr
Ste J
Orlando, FL 32828
Phone (407) 567-9955

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, 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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1982710273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 AVALON LAKE DR",
            "address_2": "SUITE J",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287375",
            "telephone_number": "407-567-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 AVALON LAKE DR",
            "address_2": "SUITE J",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287375",
            "telephone_number": "407-567-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESINSKY",
        "first_name": "CECILIA",
        "middle_name": "WONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.