Individual provider Active NPI

Kristie Garcia, OD

  • Optometrist
  • Hollywood, FL
National Provider Identifier
1467189746
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6164 Issued in FL
Practice address
300 S Park Rd Ste 300
Hollywood, FL 33021-8353
Phone
(954) 925-2740
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6164 FL Primary

Addresses

Primary practice location

300 S Park Rd Ste 300
Hollywood, FL 33021-8353

Mailing address

300 S Park Rd Ste 300
Hollywood, FL 33021-8353
Phone (954) 925-2740

Other practice location 1

901 N Congress Ave Ste 104
Boynton Beach, FL 33426-3317
Phone (772) 283-2020

Other practice location 2

603 N Flamingo Rd Ste 250
Pembroke Pines, FL 33028-1013
Phone (954) 431-2777

Other practice location 3

2300 N Commerce Pkwy Ste 307
Weston, FL 33326-3256
Phone (954) 217-3155

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
I20220815003277 FL Practitioner - Optometry 6204219835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgery Associates LLCGroup PAC ID 4688575244, 12 clinicians

Practice addresses (Care Compare)

2300 N Commerce Pkwy
Suite 307
Weston, FL 33326-3256
Phone (954) 217-3155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6164FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgery Associates LLC Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Eye Surgery Associates LLC Current Accepting new patients

Locations

901 N Congress Ave
Ste 104
Boynton Beach, FL 33426
Phone (561) 732-8005

300 S Park Rd
Ste 300
Hollywood, FL 33021
Phone (954) 925-2740

1200 SW 145th Ave
Ste 250
Pembroke Pines, FL 33027
Phone (954) 431-2777

603 N Flamingo Rd
Ste 250
Pembroke Pines, FL 33028
Phone (954) 431-2777

2300 N Commerce Pkwy
Ste 307
Weston, FL 33326
Phone (954) 217-3155

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kristie.garcia.p3@direct.drea.nextgenshare.com

Organizations & group practices 2

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": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1467189746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PARK RD STE 300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218353",
            "telephone_number": "954-925-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PARK RD STE 300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218353",
            "telephone_number": "954-925-2740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Congress Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334263317",
            "country_code": "US",
            "telephone_number": "772-283-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 N Flamingo Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281013",
            "country_code": "US",
            "telephone_number": "954-431-2777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 N Commerce Pkwy Ste 307",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263256",
            "country_code": "US",
            "telephone_number": "954-217-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KRISTIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.