Organization Active NPI

Vip Optica Coral Way, Inc.

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1619442845
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VIP OPTICA CORAL WAY, INC.
Practice address
6741 SW 24TH St Ste 54
Miami, FL 33155-1768
Phone
(305) 262-6272
NPI assigned
Oct 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Javier A Archilla, OD
Title
President
Phone
(305) 262-6272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6741 SW 24TH St Ste 54
Miami, FL 33155-1768

Mailing address

6741 SW 24TH St Ste 54
Miami, FL 33155-1768
Phone (305) 262-6272

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1619442845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 SW 24TH ST STE 54",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551768",
            "telephone_number": "305-262-6272",
            "fax_number": "786-615-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 SW 24TH ST STE 54",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551768",
            "telephone_number": "305-262-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP OPTICA CORAL WAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "ARCHILLA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-262-6272",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Oct 3, 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.