Organization Active NPI

Capital Vision Care Inc.

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1568769701
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4243 Issued in FL
Legal business name
CAPITAL VISION CARE INC.
Practice address
11401 Pines Blvd
Suite 352
Pembroke Pines, FL 33026-4117
Phone
(954) 438-8288
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Dr. Melody Leon, O.D.
Title
President
Phone
(305) 490-0326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4243 FL Primary

Addresses

Primary practice location

11401 Pines Blvd
Suite 352
Pembroke Pines, FL 33026-4117

Mailing address

13210 SW 19TH Dr
Miramar, FL 33027-3431
Phone (305) 490-0326

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1568769701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 SW 19TH DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273431",
            "telephone_number": "305-490-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 PINES BLVD",
            "address_2": "SUITE 352",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264117",
            "telephone_number": "954-438-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL VISION CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-490-0326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.