Organization Active NPI

South Florida Vision Services, Inc.

  • Optometrist
  • Miami, FL
National Provider Identifier
1609573245
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOUTH FLORIDA VISION SERVICES, INC.
Practice address
1200 SW 1St St Ste 212
Miami, FL 33135-2402
Phone
(786) 408-5604
Fax
(786) 522-1579
NPI assigned
Feb 14, 2023
Organization subpart
Yes
Parent organization
SOUTH FLORIDA VISION SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Robert C. Coppola, OD
Title
President
Phone
(954) 676-8446

Specialties & licenses 1

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

Addresses

Primary practice location

1200 SW 1St St Ste 212
Miami, FL 33135-2402

Mailing address

2900 W Cypress Creek Rd Ste 4
Ft Lauderdale, FL 33309-1715
Phone (954) 676-8446

National Provider Directory

National Provider Directory
Tax ID family
Robert C Coppola OD30 organizations share this tax ID, including this one
Part of
Robert C Coppola OD

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

1200 SW 1st St
Ste 212
Miami, FL 33135
Phone (786) 408-5604

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1609573245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD STE 4",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091715",
            "telephone_number": "954-676-8446",
            "fax_number": "954-979-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SW 1ST ST STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352402",
            "telephone_number": "786-408-5604",
            "fax_number": "786-522-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA VISION SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH FLORIDA VISION SERVICES, INC.",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-676-8446",
        "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": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.