Miami Beach Center for Ophthalmology PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MIAMI BEACH CENTER FOR OPHTHALMOLOGY PA

Practice address

1111 Kane Concourse Ste 607
Bay Harbor Islands, FL 33154-2044

Phone

(305) 674-2047

Fax

(305) 674-2939

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Luis Diego Villani, MDNPI 1962498782

Title

President

Phone

(305) 450-1431

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis Diego Villani, M.D.

  • Ophthalmology Physician
  • Bay Harbor Islands, FL
  • NPI 1962498782
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1306458500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE STE 607",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542044",
            "telephone_number": "305-674-2047",
            "fax_number": "305-674-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE STE 607",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542044",
            "telephone_number": "305-674-2047",
            "fax_number": "305-674-2939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4308 Alton Rd Ste 870",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331404560",
            "country_code": "US",
            "telephone_number": "305-674-2047",
            "fax_number": "305-674-2939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIAMI BEACH CENTER FOR OPHTHALMOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "VILLANI",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "DIEGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-450-1431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daimi Madrigal
• Cristina Martinez, APRN
• Alexander M. Matz, PT
• Melissa Lazarus MD PA
• Metro Therapy Center Inc
• Miami Beach Ophthalmology PA
• Mibaso
• Lucas Migliazza
• Mobile Doctors LLC
• Isidoro Morjaim, M.D.

• Ophthalmology Physician in Bay Harbor Islands, FL
• Providers in Bay Harbor Islands, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.