Abc Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3844 Issued in FL

Legal business name

ABC OPTOMETRY INC

Practice address

8748 Bird Rd
Miami, FL 33165-5471

Phone

(305) 227-5467

Fax

(305) 227-5895

NPI assigned

Jun 9, 2008

Last updated

Jul 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sima Yacoub, O.D.NPI 1407984388

Title

Optometrist

Phone

(786) 239-8279

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sima Yacoub, O.D.

  • Optometrist
  • Miami, FL
  • NPI 1407984388
  Medicare reassignment Authorized official
• Judith Flores-Guerra, OD

  • Optometrist
  • Jacksonville, FL
  • NPI 1265428239
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1184883662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 ANCONA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461905",
            "telephone_number": "786-239-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8748 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655471",
            "telephone_number": "305-227-5467",
            "fax_number": "305-227-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "SIMA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "786-239-8279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000065000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abc Medical Group Inc
• Abc Medical Service, LLC.
• Abc Medical Supply, Inc.
• Abc Miami Adult Day Care, LLC
• Abc Mind Center, LLC
• Abc Pediatric Rehab, Inc
• Abc Pediatric Rehab, Inc
• Abc Pediatrics of Florida Inc
• Abc Speech Therapy Center Inc
• Abc Therapeutic Center, Inc.

• Optometrist in Miami, FL
• Providers in Miami, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.