Individual provider Active NPI

Patrisa Tare, O.D

  • Optometrist
  • Miami, FL
National Provider Identifier
1538339650
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4232 Issued in FL
Practice address
8940 N Kendall Dr
Miami, FL 33176-2148
Phone
(954) 608-3045
NPI assigned
Mar 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4232 FL Primary

Addresses

Primary practice location

8940 N Kendall Dr
Miami, FL 33176-2148

Mailing address

8940 North Kendall Drive
Suite 400-E
Miami, FL 33176
Phone (305) 598-2020

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
I20081028000830 FL Practitioner - Optometry 6901964329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A James Segal MD PA MedeyeassociatesGroup PAC ID 6901889542, 7 clinicians

Practice addresses (Care Compare)

5858 SW 68TH St
South Miami, FL 33143-3693
Phone (305) 661-8588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4232FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Excellence in Eyecare PA CurrentSince Jul 1, 2016 Accepting new patients
A James Segal MD PA Medeyeassociates CurrentSince Aug 1, 2022 Accepting new patients
Inna Ozerov MD PA Past Accepting new patients
South Florida Eye Associates, PA Past Accepting new patients
South Florida Eye Associates, PA Past Accepting new patients

Locations

8250 NW 27th St
Ste 311
Doral, FL 33122
Phone (305) 238-4901

925 NE 30th Ter
Ste 216
Homestead, FL 33033

8940 N Kendall Dr
Ste 400E
Miami, FL 33176
Phone (305) 598-2020

15955 SW 96th St
Ste 206
Miami, FL 33196
Phone (305) 598-2020

9299 SW 152nd St
Ste 101
Palmetto Bay, FL 33157
Phone (305) 233-8043

5858 SW 68th St
South Miami, FL 33143
Phone (305) 357-1711

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.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1538339650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 NORTH KENDALL DRIVE",
            "address_2": "SUITE 400-E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "305-598-2020",
            "fax_number": "305-274-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762148",
            "telephone_number": "954-608-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARE",
        "first_name": "PATRISA",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.