Individual provider Active NPI

Liset Rodriguez, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1558934620
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5976 Issued in FL
Practice address
7800 SW 104TH St
Miami, FL 33156-2631
Phone
(305) 904-5656
NPI assigned
Jul 19, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5976 FL Primary

Addresses

Primary practice location

7800 SW 104TH St
Miami, FL 33156-2631

Mailing address

1680 W 56TH St Apt C223
Hialeah, FL 33012-2048
Phone (305) 904-5656

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
I20250211000134 FL Practitioner - Optometry 1850821513 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5976FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Optical, LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Liset Rodriguez OD PLLC Optometrist CurrentSince Jan 5, 2025 Accepting new patients

Locations

5645 NW 87th Ave
Ste 100
Doral, FL 33178
Phone (305) 362-4020

9732 SW 24th St
Miami, FL 33165
Phone (305) 221-0660

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1558934620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 W 56TH ST APT C223",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122048",
            "telephone_number": "305-904-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562631",
            "telephone_number": "305-904-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LISET",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.