Organization Active NPI

Pro Vision Care Center Inc

  • Optometrist
  • Coral Gables, FL
National Provider Identifier
1346494051
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PRO VISION CARE CENTER INC
Practice address
4763 SW 8TH St
Coral Gables, FL 33134-2546
Phone
(305) 445-6122
Fax
(305) 445-3041
NPI assigned
Nov 7, 2008
Last updated
Jan 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Miss Amalfi Blanco, OD
Title
Owner
Phone
(786) 486-9645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4763 SW 8TH St
Coral Gables, FL 33134-2546

Mailing address

4763 SW 8TH St
Coral Gables, FL 33134-2546
Phone (305) 445-6122

National Provider Directory

National Provider Directory

Locations

4763 SW 8th St
Coral Gables, FL 33134
Phone (305) 445-6122

920 SW 67th Ave
Miami, FL 33144
Phone (305) 264-6991

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1346494051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4763 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342546",
            "telephone_number": "305-445-6122",
            "fax_number": "305-445-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4763 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342546",
            "telephone_number": "305-445-6122",
            "fax_number": "305-445-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO VISION CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "AMALFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-486-9645",
        "authorized_official_name_prefix": "Miss",
        "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 Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.