Organization Active NPI

Daniel J Monzon OD LLC

  • Optometrist
  • Miami, FL
National Provider Identifier
1003471442
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DANIEL J MONZON OD LLC
Practice address
14411 SW 42ND St
Miami, FL 33175-7818
Phone
(786) 475-2020
Fax
(786) 789-2021
NPI assigned
May 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Daniel J Monzon, ODNPI 1073984837
Title
Owner
Phone
(786) 475-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

14411 SW 42ND St
Miami, FL 33175-7818

Mailing address

14411 SW 42ND St
Miami, FL 33175-7818
Phone (786) 475-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191023000328 FL Part B Supplier - Clinic/Group Practice 7618209743 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

14411 SW 42nd St
Miami, FL 33175
Phone (305) 271-8394

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1003471442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757818",
            "telephone_number": "786-475-2020",
            "fax_number": "786-789-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757818",
            "telephone_number": "786-475-2020",
            "fax_number": "786-789-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J MONZON OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "MONZON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-475-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.