Senia V Bustillo OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SENIA V BUSTILLO OD PA

Practice address

8765 SW 165TH Avenue
Suite 107
Miami, FL 33193

Phone

(786) 212-1270

NPI assigned

Nov 9, 2019

Organization subpart

No

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

Authorized official

Name

Senia Bustillo, OD

Title

Owner

Phone

(786) 212-1270

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573257600000",
    "number": "1205471687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 SW 165TH AVE STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935832",
            "telephone_number": "786-212-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 SW 165TH AVENUE",
            "address_2": "SUITE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33193",
            "telephone_number": "786-212-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIA V BUSTILLO OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-09",
        "last_updated": "2019-11-09",
        "status": "A",
        "authorized_official_last_name": "BUSTILLO",
        "authorized_official_first_name": "SENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-212-1270",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "P01000031742",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Allyn Sendzischew Shane, M.D.
• Seneca Wellness PLLC
• Roxanne Senechal, OD
• Jila Senemar, MD
• Seni Medical Office
• Senior Activity Center Corp
• Senior Center Adult Day Care Corp.
• Senior Center II Adult Day Care Corp
• Senior Day Care Group LLC
• Senior Dental LLC

• 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 Nov 9, 2019; 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.