Dr Nicolas Gilberg OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR NICOLAS GILBERG OD PA

Practice address

14711 Biscayne Blvd Ste 308
North Miami, FL 33181-1213

Phone

(786) 500-2020

NPI assigned

Mar 1, 2012

Organization subpart

No

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

Authorized official

Name

Nicolas Gilberg, OD

Title

Owner

Phone

(786) 500-2020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1598039000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 CORONADO DR",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812154",
            "telephone_number": "786-500-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14711 BISCAYNE BLVD STE 308",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331811213",
            "telephone_number": "786-500-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 W 49th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330122935",
            "country_code": "US",
            "telephone_number": "305-825-3005",
            "fax_number": "305-819-5887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR NICOLAS GILBERG OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "GILBERG",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-500-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in North Miami, FL
• Providers in North Miami, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.