Organization Active NPI

Clarity Vision Center Inc.

  • Optometrist
  • Miramar, FL
National Provider Identifier
1619443397
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CLARITY VISION CENTER INC.
Practice address
1900 S University Dr
Miramar, FL 33025-2230
Phone
(954) 431-3060
Fax
(954) 431-4002
NPI assigned
Oct 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Dr. Matthew Rodriguez, OD
Title
Optometrist/Vision Care Provider
Phone
(804) 205-4363

Specialties & licenses 1

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

Addresses

Primary practice location

1900 S University Dr
Miramar, FL 33025-2230

Mailing address

7792 Deercreek CT
Davie, FL 33328-3826
Phone (804) 205-4363

Other identifiers 2

IdentifierTypeStateIssuer
1700286044OtherFLNPI TYPE 1
014429800MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1619443397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7792 DEERCREEK CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283826",
            "telephone_number": "804-205-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S UNIVERSITY DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252230",
            "telephone_number": "954-431-3060",
            "fax_number": "954-431-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY VISION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OPTOMETRIST/VISION CARE PROVIDER",
        "authorized_official_telephone_number": "804-205-4363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1700286044",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014429800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.