Individual provider Active NPI

Meir Ben-Nissan, O.D.

  • Optometrist
  • N Miami Beach, FL
National Provider Identifier
1609961028
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 2605 Issued in FL
Practice address
3491 NE 163Rd St
N Miami Beach, FL 33160-4426
Phone
(305) 538-1201
Fax
(305) 531-9703
NPI assigned
Oct 3, 2006
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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 2605 FL Primary

Addresses

Primary practice location

3491 NE 163Rd St
N Miami Beach, FL 33160-4426

Mailing address

3491 NE 163Rd St
N Miami Beach, FL 33160-4426
Phone (305) 538-1201

Other identifiers 1

IdentifierTypeStateIssuer
078918600MedicaidFL

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
I20080905000282 FL Practitioner - Optometry 5496821019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3491 NE 163Rd St
North Miami Beach, FL 33160-4426
Phone (305) 538-1201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1609961028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 NE 163RD ST",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604426",
            "telephone_number": "305-538-1201",
            "fax_number": "305-531-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 NE 163RD ST",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604426",
            "telephone_number": "305-538-1201",
            "fax_number": "305-531-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN-NISSAN",
        "first_name": "MEIR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078918600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.