Poh Doral LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

POH DORAL LLC

Practice address

10674 NW 19TH St
Doral, FL 33172-2542

Phone

(305) 649-4011

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

Moises Fridzon

Title

Coo

Phone

(305) 649-4011

Specialties & licenses 2

Addresses

Other names 1

• ELIOS OPTICAL DORAL Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yenismar Cabrera, OD

  • Optometrist
  • Doral, FL
  • NPI 1407748296
  NPD

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1366296386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20815 NE 16TH AVE STE B15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792121",
            "telephone_number": "305-649-4011",
            "fax_number": "305-649-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10674 NW 19TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722542",
            "telephone_number": "305-649-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POH DORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "FRIDZON",
        "authorized_official_first_name": "MOISES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-649-4011"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELIOS OPTICAL DORAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Podiatry Care Partners Inc
• Podiatry Network Solutions of Central Florida, LLC
• Podiatry Network Solutions of Florida, LLC
• Podiatry Network Solutions of South Florida, LLC
• Podocare Clinical Specialist Professional LLC
• Lexus Poitier
• Yanet Polanco Rodriguez
• Aide Rose Polanco, SPEECH-LANGUAGE PATH
• Joel Luis Polanco, NP-C
• Maira C. Polanco, BS

• Eyewear Supplier in Doral, FL
• Providers in Doral, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.