Miramar Vision Center

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPC3651 Issued in FL

Legal business name

MIRAMAR VISION CENTER

Practice address

9939 Miramar Pkwy
Miramar, FL 33025-2397

Phone

(954) 430-0430

Fax

(954) 430-0888

NPI assigned

Jan 9, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Diose Gonzalez

Title

Manager

Phone

(954) 430-0430

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Marc Jay Gannon, O.D.

  • Low Vision Rehabilitation Optometrist
  • Fort Lauderdale, FL
  • NPI 1841286424
  NPD (past)
• Douglas Michael Handley, O.D.

  • Optometrist
  • Aventura, FL
  • NPI 1548301757
  NPD (past)

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1225574783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9939 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252397",
            "telephone_number": "954-430-0430",
            "fax_number": "954-430-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9939 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252397",
            "telephone_number": "954-430-0430",
            "fax_number": "954-430-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DIOSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-430-0430",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miramar Modern Dentistry, PA
• Miramar Pharmacy and Discount, Inc
• Miramar Podiatry and Surgery Institute LLC
• Miramar Primary Care Center LLC
• Miramar Top Health Care Inc
• Cynthia Mirand
• Lesly Miranda Orozco
• Mirta Batista Tatum Inc
• Mirvision Inc
• Adexis Mitchell

• Corneal and Contact Management Optometrist in Miramar, FL
• Providers in Miramar, FL by specialty
• Corneal and Contact Management Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.