Individual provider Active NPI

Diana Perez, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1295263903
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5503 Issued in FL
Practice address
8220 W Flagler St
Miami, FL 33144
Phone
(305) 225-1145
Fax
(305) 225-5158
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008615 NY
Optometrist 152W00000X OPC5503 FL Primary

Addresses

Primary practice location

8220 W Flagler St
Miami, FL 33144

Mailing address

8220 W Flagler St
Miami, FL 33144-2028
Phone (305) 225-1145

Other practice location 1

432 E 149th St
Bronx, NY 10455-1343
Phone (718) 484-9111

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
I20181210000831 FL Practitioner - Optometry 7911241518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Lianette Laria, PAGroup PAC ID 1254381262, 2 clinicians

Practice addresses (Care Compare)

8220 W Flagler St
Laria Eye Care
Miami, FL 33144-2028
Phone (305) 225-1145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008615NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lianette Laria, PA Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Dr Lianette Laria PA Optometrist PastSince Aug 29, 2021 Accepting new patients

Locations

8220 W Flagler St
Miami, FL 33144
Phone (305) 225-1145

5785 Bird Rd
Ste B
Miami, FL 33155
Phone (305) 225-1145

5785 Bird Rd
Miami, FL 33155

Organizations & group practices 2

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1295263903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442028",
            "telephone_number": "305-225-1145",
            "fax_number": "305-225-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33144",
            "telephone_number": "305-225-1145",
            "fax_number": "305-225-5158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "432 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104551343",
            "country_code": "US",
            "telephone_number": "718-484-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008615",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.