Active NPI
Robert Perez, OD
- Optometrist
- North Miami, FL
National Provider Identifier
1568034551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5935
- Practice address
- 12000 Biscayne Blvd Ste 160
North Miami, FL 33181-2742 - Phone
- (786) 264-3905
- NPI assigned
- Jul 11, 2021
- Last updated
- Jul 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5935 | FL | Primary |
Addresses
Primary practice location
12000 Biscayne Blvd Ste 160
North Miami, FL 33181-2742
Mailing address
7821 NW 160TH Ter
Miami Lakes, FL 33016-6632
Phone (786) 213-9659
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5935 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Vision Care Inc | Optometrist | Current | Accepting new patients |
| DRS. Cukierman & Gomez, Inc | Optometrist | Current | Accepting new patients |
| National Vision Inc | Past | Accepting new patients |
Locations
2873 Stirling Rd
Ft Lauderdale, FL 33312
Phone (954) 983-4969
246 S Flamingo Rd
Pembroke Pines, FL 33027
Phone (954) 442-4602
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Optometrist
- Fort Lauderdale, FL
- NPI 1538372065
-
dba America's Best Contacts & Eyeglasses
- Optician
- North Miami, FL
- NPI 1548732431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625961600000",
"number": "1568034551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7821 NW 160TH TER",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330166632",
"telephone_number": "786-213-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 BISCAYNE BLVD STE 160",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812742",
"telephone_number": "786-264-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-11",
"last_updated": "2021-07-11",
"certification_date": "2021-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.