Organization Active NPI

KD Establishments

  • Optometrist
  • Miami Gardens, FL
National Provider Identifier
1184594830
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KD ESTABLISHMENTS
Practice address
17650 NW 2ND Ave
Miami Gardens, FL 33169-5019
Phone
(305) 645-7542
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Kizito Cedric Dennis, ODNPI 1891563557
Title
Optometrist
Phone
(518) 334-0477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

17650 NW 2ND Ave
Miami Gardens, FL 33169-5019

Mailing address

2399 NW 167TH St Apt 507
Miami Gardens, FL 33056-4582
Phone (518) 334-0477

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1184594830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 NW 167TH ST APT 507",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564582",
            "telephone_number": "518-334-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17650 NW 2ND AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695019",
            "telephone_number": "305-645-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD ESTABLISHMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "KIZITO",
        "authorized_official_middle_name": "CEDRIC",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "518-334-0477",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.