South Florida Eye Institute, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SOUTH FLORIDA EYE INSTITUTE, INC.

Practice address

6233 N University Dr
Tamarac, FL 33321-4022

Phone

(954) 721-0000

Fax

(954) 721-6308

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mirtha Amelia Camacho, RNNPI 1962644021

Title

Administrator

Phone

(954) 529-1075

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Jorge Camacho MD Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 5

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

• Eric Ferdinand Ciliberti, M.D.

  • Neurology Physician
  • Plantation, FL
  • NPI 1609826825
  Medicare reassignment Care Compare group
• Boris Ovodenko, M.D.

  • Ophthalmology Physician
  • Estero, FL
  • NPI 1598813750
  Medicare reassignment Care Compare group
• Amanda Andion Arias, OD

  • Optometrist
  • Boca Raton, FL
  • NPI 1265325393
  Medicare reassignment NPD
• Mirtha Amelia Camacho

  • Optician
  • Tamarac, FL
  • NPI 1962644021
  NPD Authorized official
• Audley Leonard Ridley Jr., O.D

  • Optometrist
  • Tamarac, FL
  • NPI 1356260871
  NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1073542650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214022",
            "telephone_number": "954-721-0000",
            "fax_number": "954-721-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214022",
            "telephone_number": "954-721-0000",
            "fax_number": "954-721-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 N University Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330243617",
            "country_code": "US",
            "telephone_number": "954-721-0000",
            "fax_number": "954-721-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH FLORIDA EYE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "MIRTHA",
        "authorized_official_middle_name": "AMELIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-529-1075",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "9904886",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "6104868",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017975502",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "002YB",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017975500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jorge Camacho MD Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jorge Camacho MD Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Allan Snyder, PA-C
• Robert J Snyder, D.P.M.
• Tanveer Sobhan, MD
• Ramesh Sogal, M.D.
• Sonocare Diagnostic Imaging Inc
• South Florida Hair Restoration (Dr. Martin's Wellness Center)
• South Florida Injury Centers, Inc.
• South Florida Neurosurgical Institute Inc
• South Florida Oncology and Hematology Consultants LLC
• South Florida Pain & Rehabilitation of West Broward

• Ophthalmology Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.