Organization Active NPI

Lucy Benard OD PA

  • Optometrist
  • Homestead, FL
National Provider Identifier
1346518875
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3685 Issued in FL
Legal business name
LUCY BENARD OD PA
Practice address
13600 SW 288TH St
Homestead, FL 33033-1905
Phone
(305) 248-8883
Fax
(844) 814-2970
NPI assigned
Dec 12, 2011
Last updated
May 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Lucy Jeanette Benard-Zeledon, O.D.NPI 1639295371
Title
President
Phone
(786) 999-4205

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 3685 FL Primary

Addresses

Primary practice location

13600 SW 288TH St
Homestead, FL 33033-1905

Mailing address

14974 SW 11TH St
Miami, FL 33194-2505
Phone (786) 999-4205

Other practice location 1

17650 NW 2nd Ave
Miami Gardens, FL 33169-5019
Phone (305) 249-2505

National Provider Directory

National Provider Directory

Locations

13600 SW 288th St
Homestead, FL 33033
Phone (305) 248-8883

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": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1346518875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14974 SW 11TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942505",
            "telephone_number": "786-999-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13600 SW 288TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331905",
            "telephone_number": "305-248-8883",
            "fax_number": "844-814-2970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17650 NW 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "331695019",
            "country_code": "US",
            "telephone_number": "305-249-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUCY BENARD OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "BENARD-ZELEDON",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-999-4205",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.