Active NPI
Pavel V Gazdovich OD PA
- Optometrist
- Miami, FL
National Provider Identifier
1255722401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4933
- Legal business name
- PAVEL V GAZDOVICH OD PA
- Practice address
- 9569 S Dixie Hwy
Miami, FL 33156-2802 - Phone
- (305) 424-8451
- Fax
- (305) 424-4248
- NPI assigned
- Feb 10, 2015
- 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
- Pavel V Gazdovich, OD
- Title
- Optometrist/ Owner
- Phone
- (305) 424-8451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4933 | FL | Primary |
Addresses
Primary practice location
9569 S Dixie Hwy
Miami, FL 33156-2802
Mailing address
3260 SW 140TH Ave
Miami, FL 33175-6755
Phone (305) 424-8451
National Provider Directory
National Provider DirectoryLocations
10101 W Flagler St
Miami, FL 33174
Phone (305) 227-3380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670284800000",
"number": "1255722401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 SW 140TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756755",
"telephone_number": "305-424-8451",
"fax_number": "305-424-8526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9569 S DIXIE HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331562802",
"telephone_number": "305-424-8451",
"fax_number": "305-424-4248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAVEL V GAZDOVICH OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-10",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A",
"authorized_official_last_name": "GAZDOVICH",
"authorized_official_first_name": "PAVEL",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
"authorized_official_telephone_number": "305-424-8451",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.