Designer Collection Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

DESIGNER COLLECTION OPTICAL

Practice address

15470 NW 77TH CT
Miami Lakes, FL 33016-5823

Phone

(786) 564-2439

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Miss Mitzania Polanco, DO6785NPI 1609649136

Title

Secretary/Optician

Phone

(786) 564-2439

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitzania Polanco, DO

  • Optician
  • Miami Lakes, FL
  • NPI 1609649136
  NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1215798301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15470 NW 77TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165823",
            "telephone_number": "786-564-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15470 NW 77TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165823",
            "telephone_number": "786-564-2439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15470 NW 77th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330165823",
            "country_code": "US",
            "telephone_number": "786-564-2439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESIGNER COLLECTION OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "MITZANIA",
        "authorized_official_title_or_position": "SECRETARY/OPTICIAN",
        "authorized_official_telephone_number": "786-564-2439",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DO6785"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Optician in Florida

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