Advanced Eye Care of Hialeah, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

3040 Issued in FL

Legal business name

ADVANCED EYE CARE OF HIALEAH, PA

Practice address

5952 W 16TH Ave
Hialeah, FL 33012-6814

Phone

(305) 556-6946

Fax

(305) 825-0845

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keri Marie Pomella, OD

Title

President

Phone

(305) 556-6946

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1023111036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5952 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126814",
            "telephone_number": "305-556-6946",
            "fax_number": "305-825-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5952 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126814",
            "telephone_number": "305-556-6946",
            "fax_number": "305-825-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYE CARE OF HIALEAH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "POMELLA",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-556-6946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621004000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.