Organization Active NPI

Ben-Nissan I Care Corp

  • Optometrist
  • N Miami Beach, FL
National Provider Identifier
1245490648
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Dr. Meir Ben-Nissan, ODNPI 1609961028
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.