Individual provider Active NPI

Magdalena Saint-Louis, OD

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1174830384
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4523 Issued in FL
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

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
104404100MedicaidFL

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
I20110415000111 FL Practitioner - Optometry 9739363771 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Vision Doctors Group LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Community Health of South Florida Inc CurrentSince Oct 24, 2019 Accepting new patients
Community Health of South Florida, Inc CurrentSince Oct 24, 2019 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.

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

Verify at the official NPI Registry.