Maria Briceno Martin, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4209 Issued in FL

Practice address

14750 NW 77TH CT Ste 110
Miami Lakes, FL 33016-1507

Phone

(305) 456-7313

Fax

(305) 640-5346

NPI assigned

Aug 11, 2007

Last updated

Sep 30, 2022By the provider in NPPES

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

Other identifiers 1

Other names 1

• Dr. Maria Briceno Martin Other name

Electronic endpoints 1

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

Specialty

Optometry

Education

New England College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Briceno Martin PAGroup PAC ID 9830450931, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: info@lakeseyescare.com
• Direct secure messaging: mariabriceno@lakesfamilyeye.direct.eyemdemr.com

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.

• Briceno Martin P.a.

  • Optometrist
  • Miami Lakes, FL
  • NPI 1386156081
  Medicare reassignment Care Compare group NPD
• South Florida Eye Associates, PA

  • Ophthalmology Physician
  • Miami, FL
  • NPI 1609290279
  NPD (past)

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1629260849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT",
            "address_2": "STE 110",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "305-825-2020",
            "fax_number": "305-556-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 110",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "305-456-7313",
            "fax_number": "305-640-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICENO MARTIN",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-11",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000019400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@LAKESEYESCARE.COM",
            "affiliation": "N",
            "address_1": "14750 NW 77th Ct Ste 110",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330161507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "BRICENO MARTIN",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Brewster Group Inc (MGN Healthcare Services)
• Carmen Briceno Crespi, DMD, MS
• Briceno Martin P.a.
• Bridge Behavioral Services Corp
• Bridge Community Outreach Inc
• Bridges Community Services Corp
• Bridging the Gap Speech
• Bright Horizon ABA LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.