Organization Active NPI

Blue Vision Corporation

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1205199916
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BLUE VISION CORPORATION
Practice address
1558 W 68TH St
Hialeah, FL 33014-3810
Phone
(305) 556-0272
Fax
(305) 207-0301
NPI assigned
Jun 18, 2012
Last updated
Jun 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Ms. Maria Antonia Mesa
Title
President
Phone
(305) 556-0272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1558 W 68TH St
Hialeah, FL 33014-3810

Mailing address

1558 W 68TH St
Hialeah, FL 33014-3810
Phone (305) 556-0272

National Provider Directory

National Provider Directory

Locations

1558 W 68th St
Hialeah, FL 33014
Phone (305) 556-0272

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1205199916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143810",
            "telephone_number": "305-556-0272",
            "fax_number": "305-207-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143810",
            "telephone_number": "305-556-0272",
            "fax_number": "305-207-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE VISION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANTONIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-556-0272",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.