Organization Active NPI

Rodrigo Eye Associates Inc

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1396238739
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5532 Issued in FL
Legal business name
RODRIGO EYE ASSOCIATES INC
Practice address
591 W 49TH St
Hialeah, FL 33012
Phone
(305) 691-9780
NPI assigned
Jun 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Rodrigo Aristizabal, ODNPI 1417449265
Title
President
Phone
(305) 788-0498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC5532 FL Primary

Addresses

Primary practice location

591 W 49TH St
Hialeah, FL 33012

Mailing address

591 W 49TH St
Hialeah, FL 33012-3646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181008001595 FL Part B Supplier - Clinic/Group Practice 6305198086 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

591 W 49th St
Hialeah, FL 33012
Phone (305) 691-9780

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1396238739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-691-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODRIGO EYE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "ARISTIZABAL",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-788-0498",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5532",
            "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 Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.