Active NPI
Stephanie Nicole Puig, OD
- Optometrist
- Hialeah, FL
National Provider Identifier
1295303501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5930
- Practice address
- 7800 W 33Rd Ave Ste 1
Hialeah, FL 33018-5071 - Phone
- (786) 515-2017
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5930 | FL | Primary |
Addresses
Primary practice location
7800 W 33Rd Ave Ste 1
Hialeah, FL 33018-5071
Mailing address
6711 Orchid Dr
Miami Lakes, FL 33014-2644
Phone (786) 973-6416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5930 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America's Best Contacts & Eyeglasses | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optician
- West Hialeah, FL
- NPI 1669889192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1295303501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6711 ORCHID DR",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142644",
"telephone_number": "786-973-6416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 W 33RD AVE STE 1",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330185071",
"telephone_number": "786-515-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUIG",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.