NPIMap

Organization Active NPI

Verrett Vision Associates, LLC

  • Optometrist
  • North Miami, FL
National Provider Identifier
1063662328
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1267-421T Issued in LA
Legal business name
VERRETT VISION ASSOCIATES, LLC
Practice address
1966 NE 123Rd St
128
North Miami, FL 33181-2868
Phone
(504) 782-4855
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Keeley W Verrett, O.D.NPI 1922267301
Title
Principal
Phone
(504) 782-4855

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1267-421T LA Primary

Addresses

Primary practice location

1966 NE 123Rd St
128
North Miami, FL 33181-2868

Mailing address

1966 NE 123Rd St
128
North Miami, FL 33181-2868
Phone (504) 782-4855

National Provider Directory

National Provider Directory

Locations

1200 Franklin Ave
New Orleans, LA 70117
Phone (504) 782-4855

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1063662328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 NE 123RD ST",
            "address_2": "128",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812868",
            "telephone_number": "504-782-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 NE 123RD ST",
            "address_2": "128",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812868",
            "telephone_number": "504-782-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERRETT VISION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "VERRETT",
        "authorized_official_first_name": "KEELEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "504-782-4855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1267-421T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.