Individual provider Active NPI

Raphael E Perez, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1164545992
Registry record updated Mar 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3418 Issued in FL
Practice address
1120 SW 8TH St
Miami, FL 33130-3604
Phone
(786) 853-1079
Fax
(305) 860-3088
NPI assigned
Apr 8, 2007
Last updated
Mar 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3418 FL Primary

Addresses

Primary practice location

1120 SW 8TH St
Miami, FL 33130-3604

Mailing address

524 Fernwood Rd
Miami, FL 33149-1842
Phone (786) 853-1079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050128000652 FL Practitioner - Optometry 2567412323 Reassigns benefits to 1 organization
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1120 SW 8TH St
Miami, FL 33130-3604
Phone (305) 379-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3418FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Raphael E Perez MD OD Mba Inc Optometrist CurrentSince Nov 16, 2000 Accepting new patients
Brickell Physical Therapy L.L.C. PastSince May 1, 2018 Accepting new patients

Locations

1120 SW 8th St
Miami, FL 33130
Phone (305) 379-3937

11466 Quail Roost Dr
Miami, FL 33157
Phone (305) 255-8559

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489276800000",
    "number": "1164545992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 FERNWOOD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331491842",
            "telephone_number": "786-853-1079",
            "fax_number": "305-860-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303604",
            "telephone_number": "786-853-1079",
            "fax_number": "305-860-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RAPHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-08",
        "last_updated": "2017-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.