NPIMap

Organization Active NPI

Premier Vision Center Inc

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1003168253
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4553 Issued in IL
Legal business name
PREMIER VISION CENTER INC
Practice address
131 SW 117TH Ave
203
Pembroke Pines, FL 33025-4915
Phone
(305) 785-7165
NPI assigned
Oct 12, 2012
Last updated
Oct 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Dr. Jose Cuevas, ODNPI 1023324571
Title
President/Owner
Phone
(305) 785-7165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4553 IL Primary

Addresses

Primary practice location

131 SW 117TH Ave
203
Pembroke Pines, FL 33025-4915

Mailing address

131 SW 117TH Ave
203
Pembroke Pines, FL 33025-4915
Phone (305) 785-7165

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1003168253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SW 117TH AVE",
            "address_2": "203",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254915",
            "telephone_number": "305-785-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SW 117TH AVE",
            "address_2": "203",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254915",
            "telephone_number": "305-785-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-785-7165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "OPC4553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.