NPIMap

Organization Active NPI

Pinnacle Advanced Eye Care

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1558802447
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OPC2646 Issued in FL
Legal business name
PINNACLE ADVANCED EYE CARE
Practice address
18131 NW 66TH CT
Hialeah, FL 33015-4408
Phone
(305) 962-1735
Fax
(954) 507-9561
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Dr. Bradley Peltzer, O.D.
Title
President
Phone
(305) 962-1735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OPC2646 FL Primary

Addresses

Primary practice location

18131 NW 66TH CT
Hialeah, FL 33015-4408

Mailing address

18131 NW 66TH CT
Hialeah, FL 33015-4408
Phone (305) 962-1735

Other identifiers 1

IdentifierTypeStateIssuer
078929100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1558802447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18131 NW 66TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154408",
            "telephone_number": "305-962-1735",
            "fax_number": "954-507-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18131 NW 66TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154408",
            "telephone_number": "305-962-1735",
            "fax_number": "954-507-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ADVANCED EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "PELTZER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-962-1735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "OPC2646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078929100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.