DR. SHIRLEY DE LA ROSA OD
NPI 1124300413
Optometrist in Orlando, FL
About Dr. Shirley De La Rosa Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHIRLEY DE LA ROSA OD (NPI 1124300413) is an individual optometrist in Orlando, Florida, licensed in Florida (OPC5850) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orlando.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shirley De La Rosa Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Shirley De La Rosa reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orlando, FL 32803
- Reassigned Medicare billing, Florida enrollment
- 229 clinicians in this Medicare group
Orlando, FL 32805
- Reassigned Medicare billing, Florida enrollment
- 109 clinicians in this Medicare group
Richmond, VA 23238
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 9 clinicians in this Medicare group
Baltimore, MD 21220
- Reassigned Medicare billing, District of Columbia enrollment
- 10 clinicians in this Medicare group
Brooklyn, NY 11211
- Reassigned Medicare billing, District of Columbia enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shirley De La Rosa's NPI number?
The NPI number for Shirley De La Rosa is 1124300413. It was assigned to this individual provider in the NPPES registry on September 13, 2011.
Where is Shirley De La Rosa located?
Shirley De La Rosa practices at 5020 E Colonial Dr, Orlando, FL 32803. The listed phone number is (321) 430-1266.
What is Shirley De La Rosa's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Shirley De La Rosa enrolled in Medicare?
Yes. Shirley De La Rosa is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shirley De La Rosa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shirley De La Rosa reassigns Medicare benefits to 5 organizations: Eye Doctors Optical Outlets PA (Orlando, FL), Health Care Center For The Homeless, Inc. (Orlando, FL), Sightrite Medical VA PLLC (Richmond, VA), Sightrite Medical MD LLC (Baltimore, MD) and Sightrite Medical Dc PLLC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shirley De La Rosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shirley De La Rosa accept?
Health plans from Anthem Blue Cross and Blue Shield, AvMed, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 14 other insurers list Shirley De La Rosa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shirley De La Rosa was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Shirley De La Rosa, OD · NPI 1124300413
Optometrist provider in Orlando, Florida. Individual provider, active in the CMS NPPES registry since September 13, 2011.
## Identity
- **NPI:** 1124300413 (Entity type: Individual)
- **Enumerated:** September 13, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPC5850 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5020 E COLONIAL DR, Orlando, FL 32803-4312
- **Phone:** (321) 430-1266
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Eye Doctors Optical Outlets PA (NPI 1508057555, Orlando, FL); Health Care Center For The Homeless, Inc. (NPI 1992683536, Orlando, FL); Sightrite Medical VA PLLC (NPI 1669095634, Richmond, VA); Sightrite Medical MD LLC (NPI 1649755851, Baltimore, MD); Sightrite Medical Dc PLLC (NPI 1831676568, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1124300413) · Data from the CMS NPPES public registry.