Active NPI
Marco Polo Eye Center, Inc.
- Optician
- Miami, FL
National Provider Identifier
1518174721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- MARCO POLO EYE CENTER, INC.
- Practice address
- 5786 S.W. 8 St
Miami, FL 33144 - Phone
- (305) 262-7273
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Elena Roura
- Title
- Optician
- Phone
- (305) 262-7273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
5786 S.W. 8 St
Miami, FL 33144
Mailing address
5786 S.W. 8 St
West Miami, FL 33144
Phone (305) 262-7273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086366101 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Miami, FL
- NPI 1457964421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502323200000",
"number": "1518174721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5786 S.W. 8 ST",
"city": "WEST MIAMI",
"state": "FL",
"postal_code": "33144",
"telephone_number": "305-262-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5786 S.W. 8 ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "33144",
"telephone_number": "305-262-7273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCO POLO EYE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2017-08-10",
"status": "A",
"authorized_official_last_name": "ROURA",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "ELENA",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "305-262-7273"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "086366101",
"state": "FL"
}
],
"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 Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.