Individual provider Active NPI

Raymond J Castro, BC, LDO

  • Optician
  • Miami, FL
National Provider Identifier
1386653954
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO4855 Issued in FL
Practice address
11200 SW 8TH St
College Optical Express @ Fiu, PG-6, Suite 160
Miami, FL 33199-2156
Phone
(305) 348-8439
Fax
(305) 348-8330
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Fitter 156FC0801X DO4855 FL
Optician 156FX1800X DO4855 FL Primary
Research Study Abstracter/Coder 1744R1103X DO4855 FL

Addresses

Primary practice location

11200 SW 8TH St
College Optical Express @ Fiu, PG-6, Suite 160
Miami, FL 33199-2156

Mailing address

11200 SW 8TH St Ste 160
Florida International University MMC
Miami, FL 33199-2516
Phone (305) 348-8439

Other identifiers 1

IdentifierTypeStateIssuer
DO4855OtherFLLICENSE NUMBER

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO4855FLMDContact Lens Fitter

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1386653954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST STE 160",
            "address_2": "FLORIDA INTERNATIONAL UNIVERSITY MMC",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331992516",
            "telephone_number": "305-348-8439",
            "fax_number": "305-348-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST",
            "address_2": "COLLEGE OPTICAL EXPRESS @ FIU, PG-6, SUITE 160",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331992156",
            "telephone_number": "305-348-8439",
            "fax_number": "305-348-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "BC, LDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "FL",
            "license": "DO4855",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO4855",
            "primary": true
        },
        {
            "code": "1744R1103X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Data Abstracter/Coder",
            "state": "FL",
            "license": "DO4855",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DO4855",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.