Organization Active NPI

Innovative Vision & Wellness

  • Optometrist
  • Miami, FL
National Provider Identifier
1215287958
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2907 Issued in FL
Legal business name
INNOVATIVE VISION & WELLNESS
Practice address
20354 NW 2ND Ave
Miami, FL 33169-2503
Phone
(305) 652-5277
Fax
(305) 652-8330
NPI assigned
Sep 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Dr. Don Bryan, O.D.P.A.
Title
Optometrist
Phone
(305) 652-5277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2907 FL Primary

Addresses

Primary practice location

20354 NW 2ND Ave
Miami, FL 33169-2503

Mailing address

20354 NW 2ND Ave
Miami, FL 33169-2503
Phone (305) 652-5277

National Provider Directory

National Provider Directory

Locations

20354 NW 2nd Ave
Miami Gardens, FL 33169
Phone (305) 652-5277

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1215287958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20354 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692503",
            "telephone_number": "305-652-5277",
            "fax_number": "305-652-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20354 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692503",
            "telephone_number": "305-652-5277",
            "fax_number": "305-652-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE VISION & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "305-652-5277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D.P.A."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.