Rodrigo Antonio Aristizabal, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5532 Issued in FL

Practice address

591 W 49TH St
Hialeah, FL 33012-3646

Phone

(305) 691-9780

NPI assigned

Jun 6, 2018

Last updated

Jun 6, 2018By the provider in NPPES

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

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rodrigo Eye Associates Inc

  • Optometrist
  • Hialeah, FL
  • NPI 1396238739
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1417449265",
    "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",
            "telephone_number": "305-788-0498"
        },
        {
            "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": "330123646",
            "telephone_number": "305-691-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARISTIZABAL",
        "first_name": "RODRIGO",
        "middle_name": "ANTONIO",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Arias
• Ariel Gastroenterology, P.a.
• Gertrude Ejiroghene Arienmughare
• Claudia Beatriz Ariosa Benitez
• Angelica Aristizabal, LCSW
• Rodrigo Jaime Aristizabal, DO 5343
• Ark Provision Enterprises, Inc.
• Ark Provision Enterprises, Inc.
• Arles Perdomo MD PA
• Maria De Las Nieves Armada Beltran

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.