Mitzania Polanco, DO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO6785 Issued in FL

Practice address

15470 NW 77TH CT
Miami Lakes, FL 33016-5823

Phone

(786) 564-2439

NPI assigned

Nov 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Designer Collection Optical

  • Optician
  • Miami Lakes, FL
  • NPI 1215798301
  NPD Authorized official

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1609649136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 NW 169TH ST APT G",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154230",
            "telephone_number": "786-564-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15470 NW 77TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165823",
            "telephone_number": "786-564-2439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 NW 107th Ave",
            "address_2": "Suite #358",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331723317",
            "country_code": "US",
            "telephone_number": "786-564-2439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLANCO",
        "first_name": "MITZANIA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO6785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zunay Elizabeth Pizarro, ARNP
• Ashley A Planas
• Jesus R Plasencia, BC-HIS
• Podiatric Orthopedics,Surgery, and Wound Care Associates, Inc.
• Myrlene Point-Du-Jour, RRT
• Amanda Ponce, MS
• Aniuska Ponce, NP
• Guiselle Ponce, APRN
• Niurka Ponce
• Chagny Pons Granado, SLP

• Optician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.