Express Vision Care, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

EXPRESS VISION CARE, INC.

Practice address

1833 NE Miami Gardens Dr
North Miami Beach, FL 33179-5035

Phone

(305) 932-5601

NPI assigned

Aug 8, 2023

Organization subpart

No

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

Authorized official

Name

Raul Lopez, LDONPI 1871841064

Title

President

Phone

(786) 587-7404

Specialties & licenses 1

Addresses

Tax ID family

Express Vision Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Express Vision Care, Inc.

  • Optician
  • Cooper City, FL
  • NPI 1457051211
  NPD tax ID
• Express Vision Care, Inc.

  • Optician
  • Hialeah, FL
  • NPI 1629751698
  NPD tax ID
• Express Vision Care, Inc.

  • Optician
  • Hollywood, FL
  • NPI 1669290987
  NPD tax ID

Practitioners 1

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

• Raul Lopez, LDO

  • Optician
  • Hialeah, FL
  • NPI 1871841064
  NPD (past) Authorized official

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1033892013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 NE MIAMI GARDENS DR",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795035",
            "telephone_number": "305-932-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 NE MIAMI GARDENS DR",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795035",
            "telephone_number": "305-932-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS VISION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-587-7404",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Evans, O.D.
• Executive Medical Group LLC
• Executive Medical Physics Associates, LLC
• Exelsior Diagnostic Service, Inc.
• Exelsior Medical Group, Inc.
• Eyes Right Opticians and Eye Doctors, Inc.
• Mary Ezem, CRNA
• Mohammed Ezuddin, MD
• Nisreen Shabbir Ezuddin, MD
• Osvaldo David Fabelo

• Optician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.