Organization Active NPI

Comprehensive Eye Care of South Florida Inc

  • Optometrist
  • Miami Lakes, FL
National Provider Identifier
1063670636
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2941 Issued in FL
Legal business name
COMPREHENSIVE EYE CARE OF SOUTH FLORIDA INC
Practice address
7480 Fairway Dr
Suite 105
Miami Lakes, FL 33014-6879
Phone
(305) 558-8630
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Dr. Michael Gordon, O.D.NPI 1801807912
Title
Optometrist/President
Phone
(305) 558-8630

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 OPC2941 FL Primary

Addresses

Primary practice location

7480 Fairway Dr
Suite 105
Miami Lakes, FL 33014-6879

Mailing address

7480 Fairway Dr
Suite 105
Miami Lakes, FL 33014-6879
Phone (305) 558-8630

National Provider Directory

National Provider Directory

Locations

8025 NW 36TH St Ste 300
Ste 300
Doral, FL 33166
Phone (305) 202-1600

8025 NW 36TH St
Ste 300
Doral, FL 33166
Phone (305) 717-9995

7480 Fairway Dr
Ste 105
Miami Lakes, FL 33014
Phone (305) 558-8630

Practitioners & affiliated clinicians

Practitioners 2

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1063670636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 FAIRWAY DR",
            "address_2": "SUITE 105",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146879",
            "telephone_number": "305-558-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 FAIRWAY DR",
            "address_2": "SUITE 105",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146879",
            "telephone_number": "305-558-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE EYE CARE OF SOUTH FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "305-558-8630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.