Advanced Vision Care of Kendall Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2861 Issued in FL

Legal business name

ADVANCED VISION CARE OF KENDALL INC

Doing business as

Advanced Vision Care of Kendall

Practice address

11605 N Kendall Dr
Miami, FL 33176

Phone

(305) 982-8927

Fax

(305) 647-6120

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Amir Cukierman, OD

Title

President

Phone

(954) 850-1454

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Vision Care of Kendall Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Samantha Rodriguez, OD

  • Optometrist
  • Miami, FL
  • NPI 1780577692
  Medicare reassignment NPD

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1033519186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "305-982-8927",
            "fax_number": "305-647-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "305-982-8927",
            "fax_number": "305-647-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VISION CARE OF KENDALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "CUKIERMAN",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-850-1454",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620607700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Vision Care of Kendall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Vision Care of Kendall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.