NPIMap

Organization Active NPI

Cukierman & Koepnick Eyecare, Inc.

  • Optometrist
  • Miami, FL
National Provider Identifier
1295035640
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2066 Issued in FL
Legal business name
CUKIERMAN & KOEPNICK EYECARE, INC.
Practice address
11654 N Kendall Dr
Miami, FL 33176-1005
Phone
(305) 271-1364
Fax
(305) 596-4237
NPI assigned
Nov 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Dr. Lance Mitchell Koepnick, O.D.
Title
Owner
Phone
(305) 271-1364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2066 FL Primary

Addresses

Primary practice location

11654 N Kendall Dr
Miami, FL 33176-1005

Mailing address

11654 N Kendall Dr
Miami, FL 33176-1005
Phone (305) 271-1364

Other identifiers 3

IdentifierTypeStateIssuer
620625500MedicaidFL
K2655OtherGROUP MEDICARE IDENTIFICATION NUMBER
20582ZOtherDR. KOEPNICK'S MEDICARE NUMBER

Other names 1

  • C & K EyeCare Doing business as

National Provider Directory

National Provider Directory

Locations

11654 SW 88th St
Miami, FL 33176
Phone (305) 271-1364

Practitioners & affiliated clinicians

Practitioners 2

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": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1295035640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11654 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761005",
            "telephone_number": "305-271-1364",
            "fax_number": "305-596-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11654 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761005",
            "telephone_number": "305-271-1364",
            "fax_number": "305-596-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUKIERMAN & KOEPNICK EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "KOEPNICK",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-271-1364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620625500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE IDENTIFICATION NUMBER",
            "identifier": "K2655",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. KOEPNICK'S MEDICARE NUMBER",
            "identifier": "20582Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C & K EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 1, 2010; 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.