Organization Active NPI

Amanda Reyes OD PA

  • Optometrist
  • Miami, FL
National Provider Identifier
1316509706
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AMANDA REYES OD PA
Practice address
8485 SW 40TH St Ste 103
Miami, FL 33155-3262
Phone
(305) 223-6142
Fax
(305) 552-0824
NPI assigned
Jul 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Dr. Amanda Reyes, ODNPI 1700445772
Title
Optometric Physician
Phone
(305) 801-8848

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

8485 SW 40TH St Ste 103
Miami, FL 33155-3262

Mailing address

8485 SW 40TH St Ste 103
Miami, FL 33155-3262
Phone (305) 223-6142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191024000363 FL Part B Supplier - Clinic/Group Practice 2769714765 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1316509706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8485 SW 40TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553262",
            "telephone_number": "305-223-6142",
            "fax_number": "305-552-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8485 SW 40TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553262",
            "telephone_number": "305-223-6142",
            "fax_number": "305-552-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA REYES OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "305-801-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 Jul 5, 2019; 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.