Pavel V Gazdovich, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4933 Issued in FL

Practice address

9569 S Dixie Hwy
Miami, FL 33156-2802

Phone

(305) 424-8451

Fax

(305) 424-8526

NPI assigned

Jul 18, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• South Florida Vision Services, Inc.

  dba South Florida Vision Centers

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1912032566
  Medicare reassignment NPD

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1407263700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 SW 140TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756755",
            "telephone_number": "305-424-8451",
            "fax_number": "305-424-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9569 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562802",
            "telephone_number": "305-424-8451",
            "fax_number": "305-424-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZDOVICH",
        "first_name": "PAVEL",
        "middle_name": "V",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Gayol, FNP-BC
• Giannina Gayoso Salazar, APRN
• Judy Maria Gayoso, BCBA
• Michelle Lauren Gayoso
• Shirley Amanda Gazabon, PH.D.
• Zulema Gazmuri, RBT
• Yenisset Gazquez Penalver
• Mercedes Gazquez
• GBLF, LLC (Health Z Solutions)
• GC Care Support Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.