Individual provider Active NPI

Madelyn Diaz, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1275164238
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5766 Issued in FL
Practice address
7000 SW 97TH Ave Ste 203
Miami, FL 33173-1492
Phone
(786) 452-8787
Fax
(786) 452-8786
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5766 FL Primary

Addresses

Primary practice location

7000 SW 97TH Ave Ste 203
Miami, FL 33173-1492

Mailing address

7000 SW 97TH Ave Ste 203
Miami, FL 33173-1492
Phone (786) 452-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200219000350 FL Practitioner - Optometry 7618304338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5766FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Optical, LLC Optometrist CurrentSince Jun 1, 2025 Accepting new patients

Locations

9732 SW 24th St
Miami, FL 33165
Phone (305) 221-0660

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1275164238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731492",
            "telephone_number": "786-452-8787",
            "fax_number": "786-452-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731492",
            "telephone_number": "786-452-8787",
            "fax_number": "786-452-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MADELYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.