UC Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4430 Issued in FL

Legal business name

UC EYE CARE, LLC

Practice address

15105 NW 77TH Ave Ste 104
Miami Lakes, FL 33014-7803

Phone

(305) 364-3737

NPI assigned

Mar 14, 2013

Last updated

Aug 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Giannie M Castellanos, ODNPI 1750514568

Title

President

Phone

(786) 251-5834

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Giannie Marie Castellanos, O.D.

  • Optometrist
  • Hialeah, FL
  • NPI 1750514568
  Authorized official Same address or phone

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1366783318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15105 NW 77TH AVE STE 104",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147803",
            "telephone_number": "305-364-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 NW 77TH AVE STE 104",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147803",
            "telephone_number": "305-364-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "GIANNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-251-5834",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010523801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.