Individual provider Active NPI

Annivette Rivera

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1194014845
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4847 Issued in FL
Practice address
2750 W 68TH St
Hialeah, FL 33016-5446
Phone
(305) 640-5836
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2229 NC
Optometrist 152W00000X OPC4847 FL Primary

Addresses

Primary practice location

2750 W 68TH St
Hialeah, FL 33016-5446

Mailing address

2750 W 68TH St
Hialeah, FL 33016-5446
Phone (305) 640-5836

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
I20160218001445 FL Practitioner - Optometry 7618272287 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Britney Caruso OD PAGroup PAC ID 3072530070, 4 clinicians

Practice addresses (Care Compare)

10155 Okeechobee Blvd
Royal Palm Beach, FL 33411-1404
Phone (561) 670-1176

5900 State Rd
Suite 7
Lake Worth, FL 33449-5404
Phone (561) 649-9898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2229NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Vision Doctors LLC CurrentSince Sep 1, 2015 Accepting new patients
Britney Caruso OD PA Optometrist CurrentSince Jan 25, 2025 Accepting new patients
Mobile Vision Doctors LLC CurrentSince Sep 1, 2015 Accepting new patients

Locations

5900 S State Road 7
Lake Worth, FL 33449
Phone (561) 273-8260

5890 SW 8th St
West Miami, FL 33144
Phone (305) 266-0284

Organizations & group practices 4

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1194014845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165446",
            "telephone_number": "305-640-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165446",
            "telephone_number": "305-640-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANNIVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2229",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.