Javier Archilla, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4896 Issued in FL

Practice address

101 NW 57TH Ave
Miami, FL 33126-4804

Phone

(305) 239-2515

NPI assigned

Jan 28, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mobile Doctors of Florida PA

  • Optometrist
  • North Bay Village, FL
  • NPI 1720312440
  Medicare reassignment NPD
• Vip Univida Optical, Inc.

  • Clinic/Center
  • Miami, FL
  • NPI 1265187132
  Medicare reassignment NPD

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1235552142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264804",
            "telephone_number": "305-239-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264804",
            "telephone_number": "305-239-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "West Miami",
            "state": "FL",
            "postal_code": "331444814",
            "country_code": "US",
            "telephone_number": "305-239-2515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHILLA",
        "first_name": "JAVIER",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-28",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "703-320",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jannice Ellen Archbold
• Marjorie Yvonne Archbold, PHARMD
• Albani Milagros Archer Llanos
• Harry Archer, MD
• Vanessa Archer, PHD
• Dario Archille
• Hollis Eames Archinal
• Archys Diagnostic Center Inc
• Masiel Arci Gutierrez
• Daniela Arcia Leal

• 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 Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.