Individual provider Active NPI

Iliana Toral, O.D.

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1346266780
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3615 Issued in FL
Practice address
1951 NW 150TH Ave
Suite B102
Pembroke Pines, FL 33028-2875
Phone
(954) 430-7338
Fax
(954) 430-1417
NPI assigned
Jul 15, 2006
Last updated
Jun 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3615 FL Primary

Addresses

Primary practice location

1951 NW 150TH Ave
Suite B102
Pembroke Pines, FL 33028-2875

Mailing address

12822 SW 26TH St
Davie, FL 33325-5607
Phone (954) 430-7338

Other identifiers 1

IdentifierTypeStateIssuer
620833900MedicaidFL

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
I20040303000519 FL Practitioner - Optometry 7315834330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of South Florida, Corp. Optometrist CurrentSince May 18, 2011 Accepting new patients
Sidney J Stern Visual Health Centers PA Optometrist PastSince Jan 1, 1990 Accepting new patients
Sidney J Stern Visual Health Centers PA Optometrist PastSince Jan 1, 1990 Accepting new patients
Morvarid Fallahzadeh, L.L.C. Optometrist PastSince Oct 31, 2017 Accepting new patients
Sidney J Stern Visual Health Centers PA Optometrist PastSince Jan 1, 1990 Accepting new patients
Dr Stern Visual Health Clinics PastSince Jan 1, 1990 Accepting new patients
Sidney J Stern Visual Health Centers PA Optometrist PastSince Jan 1, 1990 Accepting new patients
Sidney J Stern Visual Health Centers PA Optometrist PastSince Jan 1, 1990 Accepting new patients
Sidney J Stern Visual Health Centers PA Optometrist PastSince Jan 1, 1990 Accepting new patients
Sidney J Stern Visual Health Centers PA Optometrist PastSince Jan 1, 1990 Accepting new patients
Sidney J Stern Visual Health Centers PA Optometrist PastSince Jan 1, 1990 Accepting new patients

Locations

1951 NW 150th Ave
Ste B102
Pembroke Pines, FL 33028
Phone (954) 430-7338

Networks

  • Freedom Health HMO Network

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1346266780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12822 SW 26TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255607",
            "telephone_number": "954-430-7338",
            "fax_number": "954-430-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 NW 150TH AVE",
            "address_2": "SUITE B102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282875",
            "telephone_number": "954-430-7338",
            "fax_number": "954-430-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORAL",
        "first_name": "ILIANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620833900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.