Individual provider Active NPI

Nicholas Barlas, OD

  • Corneal and Contact Management Optometrist
  • Miami Gardens, FL
National Provider Identifier
1346919743
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC6006 Issued in FL
Practice address
4815 NW 183Rd St
Miami Gardens, FL 33055-2955
Phone
(305) 621-3830
NPI assigned
Sep 9, 2021
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC6006 FL Primary

Addresses

Primary practice location

4815 NW 183Rd St
Miami Gardens, FL 33055-2955

Mailing address

532 S Luna CT Apt 1
Hollywood, FL 33021-7536
Phone (708) 200-5869

Other practice location 1

18383 NW 27th Ave
Miami Gardens, FL 33056-3169
Phone (305) 621-3830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221229001969 WI Practitioner - Optometry 3779953187 Reassigns benefits to 1 organization
I20230530002887 FL Practitioner - Optometry 3779953187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

1139 W Main St
Whitewater, WI 53190-1618
Phone (262) 731-6320

2787 Milwaukee Rd
Suite a
Beloit, WI 53511-6919
Phone (608) 365-2512

6000 Monona Dr
Suite 101
Monona, WI 53716-3329
Phone (608) 222-9420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist CurrentSince Nov 30, 2022 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Nov 30, 2022 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Ecb Dmall LLC Optometrist CurrentSince Mar 25, 2023 Accepting new patients
Shoptikal LLC Optometrist Past Accepting new patients
Shoptikal LLC Optometrist Past Accepting new patients

Locations

8888 SW 136th St
Ste 140
Miami, FL 33176
Phone (786) 250-3024

2787 Milwaukee Rd
Ste D
Beloit, WI 53511
Phone (608) 365-2512

1640 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 563-2171

2029 Humes Rd
Janesville, WI 53545
Phone (608) 754-7411

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

1500 S Church St
Watertown, WI 53094
Phone (920) 261-9225

1139 W Main St
Whitewater, WI 53190
Phone (262) 731-6320

Organizations & group practices 6

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1346919743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 S LUNA CT APT 1",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217536",
            "telephone_number": "708-200-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 NW 183RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552955",
            "telephone_number": "305-621-3830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18383 NW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330563169",
            "country_code": "US",
            "telephone_number": "305-621-3830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARLAS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC6006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.