Active NPI
Magdalena Saint-Louis, OD
- Optometrist
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 4523
- Practice address
- 14934 Pines Blvd Ste 125
Pembroke Pines, FL 33027 - Phone
- (786) 281-7285
- NPI assigned
- Sep 9, 2010
- Sex
- Female
- 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 | OPC 4523 | FL | Primary |
Addresses
Primary practice location
14934 Pines Blvd Ste 125
Pembroke Pines, FL 33027
Mailing address
7965 Shalimar St
Miramar, FL 33023-2429
Phone (786) 281-7285
Other practice location 1
5361 NW 22nd Ave
Miami, FL 33142-8035
Phone (305) 637-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104404100 | 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
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10181 Pines Blvd
Pembroke Pines, FL 33026-3978
Phone (954) 518-6540
551 E 49TH St
Hialeah, FL 33013-1904
Phone (305) 819-7770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Doctors Group LLC | Optometrist | Current | Accepting new patients |
| Community Health of South Florida Inc | Current | Accepting new patients | |
| Community Health of South Florida, Inc | Current | Accepting new patients |
Locations
10300 SW 216th St
Cutler Bay, FL 33190
551 E 49th St
Hialeah, FL 33013
Phone (305) 221-4994
10181 Pines Blvd
Pembroke Pines, FL 33026
Phone (302) 823-3312
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1336152347
-
- Optometrist
- Fort Lauderdale, FL
- NPI 1588487458
-
- Federally Qualified Health Center (FQHC)
- Key Largo, FL
- NPI 1417704198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579564800000",
"number": "1174830384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7965 SHALIMAR ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330232429",
"telephone_number": "786-281-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14934 PINES BLVD STE 125",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33027",
"telephone_number": "786-281-7285"
}
],
"practiceLocations": [
{
"address_1": "5361 NW 22nd Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331428035",
"country_code": "US",
"telephone_number": "305-637-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAINT-LOUIS",
"first_name": "MAGDALENA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104404100",
"state": "FL"
}
],
"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 Jan 21, 2020; 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.