Individual provider Active NPI

Tirso Mark Lara, M.D.

  • Ophthalmology Physician
  • Plantation, FL
National Provider Identifier
1457353054
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME93684 Issued in FL
Practice address
850 S. Pine Island Rd.
Ste. A100
Plantation, FL 33351-6741
Phone
(954) 741-5555
Fax
(954) 741-6298
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME93684 FL Primary

Addresses

Primary practice location

850 S. Pine Island Rd.
Ste. A100
Plantation, FL 33351-6741

Mailing address

PO Box 31796
Tampa, FL 33631-3796
Phone (954) 851-9966

Other identifiers 8

IdentifierTypeStateIssuer
7799557OtherFLAETNA
28741OtherFLBLUE CROSS BLUE SHEILD
301162OtherFLAVMED
650560968OtherFLUNITED
273396000MedicaidFL
301162OtherFLCOMPBENEFITS CORPORATION
650560968OtherFLCIGNA
650560968OtherFLHUMANA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tirso.laramd.p4@direct.eyefl.nextgenshare.com

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000130 FL Practitioner - Ophthalmology 7719919448 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of Florida LLPGroup PAC ID 1254414675, 42 clinicians

Practice addresses (Care Compare)

850 S Pine Island Rd
Suite A100
Plantation, FL 33324-3118
Phone (954) 741-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.73 of 100Reported as individual
Quality
74.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Airala Laser & Cataract Institute PA Ophthalmology CurrentSince May 1, 2019 Accepting new patients
Fort Lauderdale Eye Institute Ophthalmology PastSince Jan 15, 2008 Accepting new patients
Retina Specialists of Alabama LLC Ophthalmology Past Accepting new patients

Locations

2441 SW 37th Ave
Miami, FL 33145
Phone (305) 442-0055

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1457353054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31796",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336313796",
            "telephone_number": "954-851-9966",
            "fax_number": "954-318-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S. PINE ISLAND RD.",
            "address_2": "STE. A100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333516741",
            "telephone_number": "954-741-5555",
            "fax_number": "954-741-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "TIRSO",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME93684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7799557",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "28741",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "301162",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "650560968",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273396000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPBENEFITS CORPORATION",
            "identifier": "301162",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "650560968",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "650560968",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tirso.laramd.p4@direct.eyefl.nextgenshare.com",
            "affiliation": "N",
            "address_1": "850 S. Pine Island Rd.",
            "address_2": "Ste. A100",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333516741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.