Individual provider Active NPI

Luz Angela Gomez Escamilla

  • Optometric Assistant Technician
  • Hialeah, FL
National Provider Identifier
1457247702
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Optometric Assistant TechnicianTaxonomy code 156FX1201X
Practice address
11850 Hialeah Gardens Blvd Unit 123
Hialeah, FL 33018-4280
Phone
(786) 690-0045
NPI assigned
Jun 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometric Assistant TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1201X Primary

Addresses

Primary practice location

11850 Hialeah Gardens Blvd Unit 123
Hialeah, FL 33018-4280

Mailing address

11850 Hialeah Gardens Blvd Unit 123
Hialeah, FL 33018-4280
Phone (786) 690-0045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11850 Hialeah Gardens Blvd
Unit 123
Hialeah, FL 33018-4280

11850 Hialeah Gardens Blvd Unit
Suite 123
Hialeah, FL 33018-4280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
20 20 Optics LLC Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients

Locations

11850 Hialeah Gardens Blvd
Unit 123
Hialeah Gardens, FL 33018
Phone (786) 690-0045

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": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1457247702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 HIALEAH GARDENS BLVD UNIT 123",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184280",
            "telephone_number": "786-690-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 HIALEAH GARDENS BLVD UNIT 123",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184280",
            "telephone_number": "786-690-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ ESCAMILLA",
        "first_name": "LUZ",
        "middle_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.