KEVIN SANTIAGO ENOBAL OD
NPI 1255173449
Optometrist in Davie, FL

Active since June 10, 2024PECOS Enrolled
5800 S UNIVERSITY DR, DAVIE, FL 33328(954) 252-2583 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2024, Jun 10, 2024 (2 updates tracked since 2024).

About Kevin Santiago Enobal Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN SANTIAGO ENOBAL OD (NPI 1255173449) is an individual optometrist in Davie, Florida, licensed in Florida (OPC6535) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miramar, and is a graduate of Nova Southeastern College Of Osteo Medicine (2024).

NPPES Registry Identity

NPI1255173449
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKEVIN SANTIAGO ENOBALCredential: OD
Location Address5800 S UNIVERSITY DRDavie, FL 33328-6102
Mailing AddressPo Box 279037Miramar, FL 33027-9037
Sole ProprietorYes
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2024
Enumeration DateJune 10, 2024
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
NPI 1255173449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in FL · OPC6535
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5800 S UNIVERSITY DR, Davie, FL 33328

Secondary Practice Location 1

Location 1PO Box 279037Miramar, FL 33027-9037 · Phone (954) 918-6878

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin Santiago Enobal Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234624065
PECOS Enrollment IDI20251219000619
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5800 S UNIVERSITY DR
DAVIE, FL 33328
Pharmacy
5800 S UNIVERSITY DR
DAVIE, FL 33328
Nurse Practitioner (Family)
5800 S UNIVERSITY DR
DAVIE, FL 33328
Pharmacist
5800 S UNIVERSITY DR, T-2022
DAVIE, FL 33328
Nurse Practitioner (Family)
5800 S UNIVERSITY DR
DAVIE, FL 33328
Nurse Practitioner (Family)
5800 S UNIVERSITY DR
DAVIE, FL 33328
Nurse Practitioner (Family)
5800 S UNIVERSITY DR
DAVIE, FL 33328
Pharmacist
5800 S UNIVERSITY DR, TARGET PHARMACY T-2022
DAVIE, FL 33328

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 Kevin Enobal's NPI number?

The NPI number for Kevin Enobal is 1255173449. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Kevin Enobal located?

Kevin Enobal practices at 5800 S University Dr, Davie, FL 33328. The listed phone number is (954) 252-2583.

What is Kevin Enobal's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kevin Enobal enrolled in Medicare?

Yes. Kevin Enobal is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Enobal accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Wellpoint list Kevin Enobal 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 Kevin Enobal was last updated on July 10, 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.