Individual provider Active NPI

Ivania Escoto, OD

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1376101451
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5655 Issued in FL
Practice address
1770 W 32ND PL
Hialeah, FL 33012-4512
Phone
(305) 885-4477
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 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 5655 FL Primary

Addresses

Primary practice location

1770 W 32ND PL
Hialeah, FL 33012-4512

Mailing address

1770 W 32ND PL
Hialeah, FL 33012-4512
Phone (954) 682-9341

Other practice location 1

1305 W 49th St
Hialeah, FL 33012-3221
Phone (786) 501-7017

Other practice location 2

1203 NE 163rd St Ste 102
North Miami Beach, FL 33162-4634
Phone (786) 520-2629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5655FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Daniel Max & Marc Andrea LLC Optometrist PastSince Feb 21, 2021 Accepting new patients
Advanced Vision Care Inc Optometrist PastSince Jan 2, 2013 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1376101451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 W 32ND PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124512",
            "telephone_number": "954-682-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 W 32ND PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124512",
            "telephone_number": "305-885-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 W 49th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123221",
            "country_code": "US",
            "telephone_number": "786-501-7017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1203 NE 163rd St Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331624634",
            "country_code": "US",
            "telephone_number": "786-520-2629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCOTO",
        "first_name": "IVANIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.