Individual provider Active NPI

Michael Oscar Valle, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1598071441
Registry record updated Aug 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4558 Issued in FL
Practice address
2644 SW 154TH CT
Miami, FL 33185-4868
Phone
(305) 710-5145
NPI assigned
Aug 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4558 FL Primary

Addresses

Primary practice location

2644 SW 154TH CT
Miami, FL 33185-4868

Mailing address

2644 SW 154TH CT
Miami, FL 33185-4868
Phone (305) 710-5145

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
I20230626000891 FL Practitioner - Optometry 0345608220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4558FLMDOptometrist

Interoperability endpoints

  • Direct secure messaging: mvalle188997@oce.emadirect.md

NPI Registry JSON

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282953600000",
    "number": "1598071441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 SW 154TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854868",
            "telephone_number": "305-710-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 SW 154TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854868",
            "telephone_number": "305-710-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "MICHAEL",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-28",
        "last_updated": "2010-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.