Dr Smith & Associates 6958 P a

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR SMITH & ASSOCIATES 6958 P A

Practice address

11662 N Kendall Dr
Miami, FL 33176-1005

Phone

(305) 279-6404

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Engel

Title

Director of Administration

Phone

(727) 361-0431

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dr Smith Associates 6958 P a2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dr Smith & Associates 6958 P a

  • Optometrist
  • Miami, FL
  • NPI 1356408660
  NPD tax ID

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1457418261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40510",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337430510",
            "telephone_number": "727-361-0431",
            "fax_number": "727-344-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11662 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761005",
            "telephone_number": "305-279-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SMITH & ASSOCIATES 6958 P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "727-361-0431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078668300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Miami, FL
• Providers in Miami, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.