Organization Active NPI

Broward Vision Care LLC

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1093240236
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4745 Issued in FL
Legal business name
BROWARD VISION CARE LLC
Practice address
151 SW 184TH Ave
Pembroke Pines, FL 33029-5465
Phone
(954) 437-8777
Fax
(954) 442-6524
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Dr. Hue Kim Ho, O.D.NPI 1710237417
Title
Director
Phone
(954) 437-8777

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 OPC 4745 FL Primary

Addresses

Primary practice location

151 SW 184TH Ave
Pembroke Pines, FL 33029-5465

Mailing address

3637 SW 162ND Ave
Miramar, FL 33027-4508
Phone (386) 295-9441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180109002666 FL Part B Supplier - Clinic/Group Practice 4981963444 Receives reassigned benefits from 1 practitioner
Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1093240236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 SW 162ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274508",
            "telephone_number": "386-295-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SW 184TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330295465",
            "telephone_number": "954-437-8777",
            "fax_number": "954-442-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "HUE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-437-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.