Individual provider Active NPI

Genesis Tanaidi Morales, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1366003113
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5682 Issued in FL
Practice address
10521 N Kendall Dr Ste E103
Miami, FL 33176-1554
Phone
(305) 279-2212
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5682 FL Primary

Addresses

Primary practice location

10521 N Kendall Dr Ste E103
Miami, FL 33176-1554

Mailing address

9980 SW 14TH Ter
Miami, FL 33174-2862
Phone (786) 334-8170

Other practice location 1

10521 N Kendall Dr Ste E103
Miami, FL 33176-1554
Phone (305) 279-2212

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
I20191121001996 FL Practitioner - Optometry 3476985946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1366003113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 SW 14TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742862",
            "telephone_number": "786-334-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 N KENDALL DR STE E103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761554",
            "telephone_number": "305-279-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10521 N Kendall Dr Ste E103",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331761554",
            "country_code": "US",
            "telephone_number": "305-279-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "GENESIS",
        "middle_name": "TANAIDI",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.