Organization Active NPI

Hialeah Vision Center Inc

  • Eyewear Supplier
  • Hialeah, FL
National Provider Identifier
1245486927
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OE1622 Issued in FL
Legal business name
HIALEAH VISION CENTER INC
Practice address
380 E 9TH St
Suite #2
Hialeah, FL 33010
Phone
(305) 888-5166
Fax
(305) 888-2289
NPI assigned
Aug 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Mrs. Kristine MorejonNPI 1518294883
Title
Owner
Phone
(305) 888-5166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometric Assistant TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1201X OE 1622 FL
Eyewear Supplier 332H00000X OE1622 FL Primary

Addresses

Primary practice location

380 E 9TH St
Suite #2
Hialeah, FL 33010

Mailing address

380 E 9TH St
Suite #2
Hialeah, FL 33010-4260
Phone (305) 888-5166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180719003962 FL Part B Supplier - Clinic/Group Practice 7315294493 Receives reassigned benefits from 2 practitioners
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1245486927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 9TH ST",
            "address_2": "SUITE #2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104260",
            "telephone_number": "305-888-5166",
            "fax_number": "305-888-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E 9TH ST",
            "address_2": "SUITE #2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33010",
            "telephone_number": "305-888-5166",
            "fax_number": "305-888-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIALEAH VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "MOREJON",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-888-5166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Assistant",
            "state": "FL",
            "license": "OE 1622",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OE1622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.