Individual provider Active NPI

Bruce Jay Clarin, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1164575684
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC001515 Issued in FL
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

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
620540200MedicaidFL

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
I20060210000497 FL Practitioner - Optometry 2961417084 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
OPC001515FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarin Eye Care Center PA Optometrist CurrentSince Dec 29, 2010 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.

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

Verify at the official NPI Registry.