Organization Active NPI

Eyetrust Vision

  • Optometrist
  • Miami, FL
National Provider Identifier
1033487988
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4514 Issued in FL
Legal business name
EYETRUST VISION
Practice address
1201 Brickell Ave
300
Miami, FL 33131-3207
Phone
(305) 587-9898
NPI assigned
Dec 7, 2011
Last updated
Aug 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Dr. Matthew ChrycyNPI 1245546605
Title
Owner
Phone
(305) 587-9898

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
Optometrist 152W00000X OPC 4514 FL Primary

Addresses

Primary practice location

1201 Brickell Ave
300
Miami, FL 33131-3207

Mailing address

1201 Brickell Ave
300
Miami, FL 33131-3207

National Provider Directory

National Provider Directory

Locations

328 Crandon Blvd
#202
Key Biscayne, FL 33149
Phone (305) 469-8080

1201 Brickell Ave
Ste 300
Miami, FL 33131
Phone (305) 587-9898

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": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1033487988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BRICKELL AVE",
            "address_2": "300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BRICKELL AVE",
            "address_2": "300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313207",
            "telephone_number": "305-587-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYETRUST VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "CHRYCY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-587-9898",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4514",
            "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 Aug 13, 2013; 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.