NPIMap

Organization Active NPI

Optometry Associates, LLC

  • Optometrist
  • Doral, FL
National Provider Identifier
1417708462
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTOMETRY ASSOCIATES, LLC
Practice address
8600 NW 41St St Ste 101
Doral, FL 33166-6202
Phone
(786) 835-0428
NPI assigned
Mar 28, 2024
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Celina Ann Ruiz, ODNPI 1861844524
Title
President
Phone
(786) 835-0428

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

8600 NW 41St St Ste 101
Doral, FL 33166-6202

Mailing address

8600 NW 41St St Ste 101
Doral, FL 33166-6202
Phone (786) 835-0428

Other names 1

  • OPTOMETRY ASSOCIATES, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240528000936 FL Part B Supplier - Clinic/Group Practice 7416399134 Receives reassigned benefits from 7 practitioners
Practice locations: Doral, FL

National Provider Directory

National Provider Directory
Tax ID family
Bird Road Dialysis3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8600 NW 41st St
Ste 101
Doral, FL 33166
Phone (786) 835-0428

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1417708462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 NW 41ST ST STE 101",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666202",
            "telephone_number": "786-835-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 NW 41ST ST STE 101",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666202",
            "telephone_number": "786-835-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "CELINA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-835-0428",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTOMETRY ASSOCIATES, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.