Eaglevision Optical, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EAGLEVISION OPTICAL, LLC

Practice address

13256 SW 8TH St
Miami, FL 33184-1178

Phone

(305) 870-7555

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By 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

Esler Gonzalez, ODNPI 1073358479

Title

Optometrist

Phone

(786) 332-9636

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Esler Gonzalez, OD

  • Optometrist
  • Miami, FL
  • NPI 1073358479
  Authorized official Same address or phone

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1205654290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13256 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841178",
            "telephone_number": "305-870-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13256 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841178",
            "telephone_number": "305-870-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLEVISION OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ESLER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "786-332-9636",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 30, 2024; 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.