Individual provider Active NPI

Ivonne Luisa Ortiz

  • Optometrist
  • Miami, FL
National Provider Identifier
1447531165
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4644 Issued in FL
Practice address
14450 SW 163Rd St
Miami, FL 33177-1718
Phone
(786) 339-5687
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4644 FL Primary

Addresses

Primary practice location

14450 SW 163Rd St
Miami, FL 33177-1718

Mailing address

14450 SW 163Rd St
Miami, FL 33177-1718

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120501000746 FL Practitioner - Optometry 3577725993 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4644FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Avantvision P.a Optometrist CurrentSince Feb 7, 2013 Accepting new patients

Locations

5438 SW 8th St
Coral Gables, FL 33134
Phone (305) 444-8676

767 NW 37th Ave
Miami, FL 33125
Phone (786) 452-8544

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1447531165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14450 SW 163RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 SW 163RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771718",
            "telephone_number": "786-339-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "IVONNE",
        "middle_name": "LUISA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.