NPIMap

Organization Active NPI

Center for Excellence in Eyecare PA

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1043227176
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CENTER FOR EXCELLENCE IN EYECARE PA
Practice address
8940 N Kendall Dr
Suite 400-E
Miami, FL 33176-2148
Phone
(305) 598-2020
Fax
(305) 274-0426
NPI assigned
Aug 2, 2006
Last updated
Dec 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Carlos Buznego, M.D.NPI 1851512354
Title
President
Phone
(305) 598-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

8940 N Kendall Dr
Suite 400-E
Miami, FL 33176-2148

Mailing address

8940 N Kendall Dr
Suite 400-E
Miami, FL 33176-2148
Phone (305) 598-2020

Other identifiers 1

IdentifierTypeStateIssuer
379668000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051121000844 FL Part B Supplier - Clinic/Group Practice 0345269148 Receives reassigned benefits from 28 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

15955 SW 96th St
Ste 206
Miami, FL 33196
Phone (305) 598-2020

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1043227176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR",
            "address_2": "SUITE 400-E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762148",
            "telephone_number": "305-598-2020",
            "fax_number": "305-274-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR",
            "address_2": "SUITE 400-E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762148",
            "telephone_number": "305-598-2020",
            "fax_number": "305-274-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EXCELLENCE IN EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "BUZNEGO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-598-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379668000",
            "state": "FL"
        }
    ],
    "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 Dec 5, 2016; 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.