NPIMap

Organization Active NPI

Retina Macula Specialists of Miami LLC

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1063838233
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME86697 Issued in FL
Legal business name
RETINA MACULA SPECIALISTS OF MIAMI LLC
Practice address
351 NW 42ND Ave Ste 501
Miami, FL 33126-5690
Phone
(360) 564-3887
Fax
(305) 643-8872
NPI assigned
Mar 12, 2014
Organization subpart
Yes
Parent organization
RETINA MACULA SPECIALISTS OF MIAMI LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Jay Harris LevyNPI 1851388201
Title
Managing Partner
Phone
(305) 653-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME86697 FL Primary

Addresses

Primary practice location

351 NW 42ND Ave Ste 501
Miami, FL 33126-5690

Mailing address

184 NE 168TH St
North Miami Beach, FL 33162-3412
Phone (305) 655-0411

Other identifiers 1

IdentifierTypeStateIssuer
269577406MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Retina Macula Specialists of Miami LLC19 organizations share this tax ID, including this one
Part of
Retina Macula Specialists of Miami LLC

Other organizations with this tax ID 18

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

View all 18

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1063838233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 NE 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623412",
            "telephone_number": "305-655-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW 42ND AVE STE 501",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265690",
            "telephone_number": "360-564-3887",
            "fax_number": "305-643-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA MACULA SPECIALISTS OF MIAMI LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RETINA MACULA SPECIALISTS OF MIAMI LLC",
        "enumeration_date": "2014-03-12",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "305-653-6500"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME86697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269577406",
            "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 Feb 24, 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.