NPIMap

Organization Active NPI

Ideal Opticians PA

  • Eyewear Supplier
  • Miami, FL
National Provider Identifier
1295928802
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
935 Issued in FL
Legal business name
IDEAL OPTICIANS PA
Practice address
11130 N Kendall Dr Ste 102
Miami, FL 33176-0939
Phone
(305) 274-1313
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Authorized official

Name
Mr. Gonzalo Jesus Cabarga, LDONPI 1396938965
Title
President
Phone
(305) 274-1313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 935 FL Primary

Addresses

Primary practice location

11130 N Kendall Dr Ste 102
Miami, FL 33176-0939

Mailing address

11130 N Kendall Dr Ste 102
Miami, FL 33176-0939
Phone (305) 274-1313

National Provider Directory

National Provider Directory

Locations

11130 N Kendall Dr
Ste 102
Miami, FL 33176
Phone (305) 274-1313

Practitioners & affiliated clinicians

Practitioners 1

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": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1295928802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 N KENDALL DR STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331760939",
            "telephone_number": "305-274-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 N KENDALL DR STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331760939",
            "telephone_number": "305-274-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL OPTICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "CABARGA",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-274-1313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 2, 2008; 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.