Organization Active NPI

Care Optical, LLC

  • Optometrist
  • Miami, FL
National Provider Identifier
1447627716
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CARE OPTICAL, LLC
Practice address
9732 SW 24TH St
Miami, FL 33165-7513
Phone
(305) 933-0788
Fax
(877) 551-9792
NPI assigned
Aug 21, 2015
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Melody Bolanos, ODNPI 1972850113
Title
Authorized Official
Phone
(954) 608-2080

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 Primary

Addresses

Primary practice location

9732 SW 24TH St
Miami, FL 33165-7513

Mailing address

9732 SW 24TH St
Miami, FL 33165-7513
Phone (305) 933-0788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190626003351 FL Part B Supplier - Clinic/Group Practice 0547594442 Receives reassigned benefits from 5 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Care Optical LLC3 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

2765 NW 79th Ave
Miami, FL 33122
Phone (305) 933-0788

9732 SW 24th St
Miami, FL 33165
Phone (305) 221-0660

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 5

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": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1447627716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9732 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657513",
            "telephone_number": "305-933-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657513",
            "telephone_number": "305-933-0788",
            "fax_number": "877-551-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "BOLANOS",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-608-2080",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.