Organization Active NPI

Infinity Vision Inc

  • Optician
  • Miami Gardens, FL
National Provider Identifier
1265544621
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO 4712 Issued in FL
Legal business name
INFINITY VISION INC
Practice address
4500 NW 183Rd St
Miami Gardens, FL 33055-3045
Phone
(305) 620-3901
Fax
(305) 620-3940
NPI assigned
Aug 31, 2006
Last updated
Apr 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Mr. Manuel F PerezNPI 1174074694
Title
President
Phone
(305) 620-3901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO 4712 FL Primary

Addresses

Primary practice location

4500 NW 183Rd St
Miami Gardens, FL 33055-3045

Mailing address

4500 NW 183Rd St
Miami Gardens, FL 33055-3045
Phone (305) 620-3901

Other identifiers 1

IdentifierTypeStateIssuer
630170301MedicaidFL

National Provider Directory

National Provider Directory

Locations

4500 NW 183rd St
Miami Gardens, FL 33055
Phone (305) 620-3901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1265544621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 NW 183RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553045",
            "telephone_number": "305-620-3901",
            "fax_number": "305-620-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 NW 183RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553045",
            "telephone_number": "305-620-3901",
            "fax_number": "305-620-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-620-3901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO 4712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630170301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.