Individual provider Active NPI

Ivette Garrido, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1194454652
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6074 Issued in FL
Practice address
13720 SW 104TH Ave
Miami, FL 33176-6676
Phone
(786) 691-6399
NPI assigned
Jun 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6074 FL Primary

Addresses

Primary practice location

13720 SW 104TH Ave
Miami, FL 33176-6676

Mailing address

13720 SW 104TH Ave
Miami, FL 33176-6676

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
I20241004000411 FL Practitioner - Optometry 6901241405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6074FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James D Hagen OD PA Optometrist CurrentSince Jul 27, 2024 Accepting new patients

Locations

12977 SW 112th St
Miami, FL 33186
Phone (305) 386-3937

Interoperability endpoints

  • Direct secure messaging: ivette.garrido.p1@direct.araneyeassociates.nextgenshare.com

Organizations & group practices 1

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1194454652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13720 SW 104TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331766676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 SW 104TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331766676",
            "telephone_number": "786-691-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIDO",
        "first_name": "IVETTE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.