Individual provider Active NPI

Marco Antonio Fabrega Jr., M.D.

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1629009675
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME82033 Issued in FL
Practice address
1097 S Le Jeune Rd
Miami, FL 33134-2639
Phone
(305) 442-2021
NPI assigned
Jul 6, 2006
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME82033 FL Primary

Addresses

Primary practice location

1097 S Le Jeune Rd
Miami, FL 33134-2639

Mailing address

1097 S Le Jeune Rd
Miami, FL 33134-2639
Phone (305) 442-2021

Other identifiers 1

IdentifierTypeStateIssuer
110447100MedicaidFL

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031229000030 FL Practitioner - Ophthalmology 0547168601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aran Eye Associates PAGroup PAC ID 4486615770, 32 clinicians
Miami Lakes Eye Care Center PAGroup PAC ID 8527043397, 4 clinicians

Practice addresses (Care Compare)

1097 SW Lejuene Rd
Coral Gables, FL 33134-2639
Phone 3054422020147

15600 NW 67TH Ave
Suite 210
Miami Lakes, FL 33014-2175
Phone (305) 825-2020

2540 NE 9TH St
Ft. Lauderdale, FL 33304-3525
Phone (305) 442-2020

Merit-based Incentive Payment System (MIPS)

Final score
89.49 of 100Reported as group
Quality
75.46
Promoting interoperability
79
Improvement activities
40
Cost
73.67

Merit-based Incentive Payment System (MIPS)

Final score
95.42 of 100Reported as group
Quality
98.63
Improvement activities
40
Cost
73.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME82033FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aran Eye Associates PA CurrentSince Apr 20, 2007 Accepting new patients
Douglas B Shapiro MD PA Ophthalmology CurrentSince Apr 19, 2017 Accepting new patients
Miami Lakes Eye Care Center PA Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients
Aran Eye Associates PA CurrentSince Apr 20, 2007 Accepting new patients
Arq. Electro Diagnostic, Inc. Past Accepting new patients
Stanley D Braverman MD LLC Ophthalmology Past Accepting new patients
Palm Beach Outpatient Surgical Center, LLC PastSince Mar 24, 2025 Accepting new patients
Surgery Center of Coral Gables LLC Past Accepting new patients
Visual Health and Surgical Center Inc Ophthalmology PastSince May 29, 2022 Accepting new patients
Wohlfeiler Piperato and Associates, LLC Past Accepting new patients

Locations

2540 NE 9th St
Ft Lauderdale, FL 33304
Phone (954) 537-4000

1097 S Le Jeune Rd
Miami, FL 33134
Phone (305) 442-2021

7600 Corporate Center Dr
Miami, FL 33126

8700 SW 88th St
Ste 101
Miami, FL 33176
Phone (305) 275-0038

15600 NW 67th Ave
Ste 210
Miami Lakes, FL 33014
Phone (305) 825-2020

14201 W Sunrise Blvd
#101101
Sunrise, FL 33323
Phone (954) 838-1382

2051 N University Dr
Sunrise, FL 33322
Phone (305) 422-2020

Interoperability endpoints

  • Direct secure messaging: drf@miamilakeseye.direct.eyemdemr.com

Organizations & group practices 10

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1629009675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 S LE JEUNE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331342639",
            "telephone_number": "305-442-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 S LE JEUNE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331342639",
            "telephone_number": "305-442-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABREGA",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME82033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110447100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.