Active NPI
Ben-Nissan I Care Corp
- Optometrist
- N Miami Beach, FL
National Provider Identifier
1245490648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BEN-NISSAN I CARE CORP
- Practice address
- 3491 NE 163Rd St
N Miami Beach, FL 33160-4426 - Phone
- (305) 538-1201
- Fax
- (305) 531-9703
- NPI assigned
- Jun 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Meir Ben-Nissan, OD
- Title
- Optometrist/Owner
- Phone
- (305) 538-1201
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3491 NE 163Rd St
N Miami Beach, FL 33160-4426
Mailing address
3491 NE 163Rd St
N Miami Beach, FL 33160-4426
Phone (305) 538-1201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080905000293 | FL | Part B Supplier - Clinic/Group Practice | 1759457377 |
Receives reassigned benefits from 1 practitioner Practice locations: North Miami Beach, FL |
National Provider Directory
National Provider DirectoryLocations
1680 Meridian Ave
Ste 205
Miami Beach, FL 33139
Phone (305) 538-1201
3491 NE 163rd St
North Miami Beach, FL 33160
Phone (305) 538-1201
Practitioners & affiliated clinicians
Practitioners 1
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": "1213056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472515200000",
"number": "1245490648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3491 NE 163RD ST",
"city": "N MIAMI BEACH",
"state": "FL",
"postal_code": "331604426",
"telephone_number": "305-538-1201",
"fax_number": "305-531-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3491 NE 163RD ST",
"city": "N MIAMI BEACH",
"state": "FL",
"postal_code": "331604426",
"telephone_number": "305-538-1201",
"fax_number": "305-531-9703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEN-NISSAN I CARE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-10",
"last_updated": "2016-08-30",
"status": "A",
"authorized_official_last_name": "BEN-NISSAN",
"authorized_official_first_name": "MEIR",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "305-538-1201",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in N Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.