Active NPI
Ivania Escoto, OD
- Optometrist
- Hialeah, FL
National Provider Identifier
1376101451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5655
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5655 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| Daniel Max & Marc Andrea LLC | Optometrist | Past | Accepting new patients |
| Advanced Vision Care Inc | Optometrist | Past | 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.
-
- Optometrist
- Ft Lauderdale, FL
- NPI 1538372065
-
- Eyewear Supplier
- Altamonte Springs, FL
- NPI 1023164886
-
- Eyewear Supplier
- Fort Meyers, FL
- NPI 1477607521
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.