Brandon Mondesir, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4482 Issued in FL

Practice address

11794 E Colonial Dr
Orlando, FL 32817-4626

Phone

(407) 904-4431

Fax

(407) 904-4438

NPI assigned

Jun 30, 2008

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Aeg Florida Professional PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1164156246
  Medicare reassignment NPD
• Elena Neveux OD PA

  • Optometrist
  • St Petersburg, FL
  • NPI 1790968667
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)
• Shallom Manor Retirement

  • Assisted Living Facility
  • Lauderhill, FL
  • NPI 1649404476
  NPD (past)
• New World Vision Center, Inc.

  • Optometrist
  • Philadelphia, PA
  • NPI 1427124221
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1992967038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11794 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174626",
            "telephone_number": "407-904-4431",
            "fax_number": "407-904-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11794 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174626",
            "telephone_number": "407-904-4431",
            "fax_number": "407-904-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDESIR",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017240400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susana Moncada, DMD
• Amy Moncion, LCSW
• Ryan Francis Moncman, D.O.
• Kimone Natalie Moncrieffe, APRN
• Maxine Natalie Moncrieffe, DDS
• Destinee A Mondesir
• Judith N/a Mondesir
• Johanna Monegro
• Monica Pedemonte P.a.
• Monica Rivera

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.