Individual provider Active NPI

Rebecca Blacher Kriger, O.D.

  • Optometrist
  • Aventura, FL
National Provider Identifier
1336284694
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3133 Issued in FL
Practice address
19575 Biscayne Blvd
Suite #107
Aventura, FL 33180-2325
Phone
(305) 933-1745
Fax
(305) 933-2463
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3133 FL Primary

Addresses

Primary practice location

19575 Biscayne Blvd
Suite #107
Aventura, FL 33180-2325

Mailing address

508 N Island
Golden Beach, FL 33160-2206
Phone (305) 705-0861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810000912 FL Practitioner - Optometry 4082908314 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3133FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Rosenthal, P.a. Optometrist CurrentSince Jul 23, 2016 Accepting new patients

Locations

19575 Biscayne Blvd
Ste 107
Miami, FL 33180
Phone (305) 931-3193

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336284694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N ISLAND",
            "city": "GOLDEN BEACH",
            "state": "FL",
            "postal_code": "331602206",
            "telephone_number": "305-705-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19575 BISCAYNE BLVD",
            "address_2": "SUITE #107",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802325",
            "telephone_number": "305-933-1745",
            "fax_number": "305-933-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIGER",
        "first_name": "REBECCA",
        "middle_name": "BLACHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.