Miami Optical Boutique LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIAMI OPTICAL BOUTIQUE LLC

Doing business as

Miami Optical Boutique

Practice address

1440 NW North River Dr
Miami, FL 33125-2892

Phone

(305) 414-3020

NPI assigned

Jan 24, 2024

Last updated

Jan 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yamilla Diez

Title

Owner

Phone

(833) 765-6275

Specialties & licenses 1

Addresses

Other names 1

• MIAMI OPTICAL BOUTIQUE Doing business as

Locations

Practitioners 2

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.

• Yamila Diez, DO

  • Optician
  • Miami, FL
  • NPI 1700510823
  NPD
• Sheryl Lynn Reaves, OD

  • Optometrist
  • Miami, FL
  • NPI 1023301280
  NPD

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1285496489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 NW NORTH RIVER DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 NW NORTH RIVER DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252892",
            "telephone_number": "305-414-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI OPTICAL BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "DIEZ",
        "authorized_official_first_name": "YAMILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-765-6275"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIAMI OPTICAL BOUTIQUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.