Active NPI
Bruce Jay Clarin, O.D.
- Optometrist
- Miami, FL
National Provider Identifier
1164575684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC001515
- Practice address
- 14429 S Dixie Hwy
Miami, FL 33176-7924 - Phone
- (305) 253-2525
- Fax
- (305) 235-3174
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC001515 | FL | Primary |
Addresses
Primary practice location
14429 S Dixie Hwy
Miami, FL 33176-7924
Mailing address
8616 S.W. 79 Place
Miami, FL 33143
Phone (305) 761-5303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620540200 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14429 S Dixie Hwy
Miami, FL 33176-7924
Phone (305) 253-2525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC001515 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarin Eye Care Center PA | Optometrist | Current | Accepting new patients |
Locations
14429 S Dixie Hwy
Miami, FL 33176
Phone (305) 253-2525
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Miami, FL
- NPI 1922233899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1164575684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8616 S.W. 79 PLACE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33143",
"telephone_number": "305-761-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14429 S DIXIE HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331767924",
"telephone_number": "305-253-2525",
"fax_number": "305-235-3174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARIN",
"first_name": "BRUCE",
"middle_name": "JAY",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC001515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620540200",
"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 Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.