Organization Active NPI

Miami Beach Ophthalmology PA

  • Ophthalmology Physician
  • Bay Harbor Islands, FL
National Provider Identifier
1316578974
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MIAMI BEACH 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
Jan 31, 2020
Last updated
Nov 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Luis Villani, MDNPI 1962498782
Title
President
Phone
(305) 450-1431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

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

Mailing address

1111 Kane Concourse Ste 607
Bay Harbor Islands, FL 33154-2044
Phone (305) 674-2047

Other practice location 1

4308 Alton Rd Ste 870
Miami Beach, FL 33140-4560
Phone (305) 674-2047

National Provider Directory

National Provider Directory

Locations

1111 Kane Concourse
Ste 607
Bay Harbor Islands, FL 33154
Phone (305) 674-2047

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": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1316578974",
    "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",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIAMI BEACH OPHTHALMOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "VILLANI",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-450-1431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Harbor Islands, FL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.