Maya Vision Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

FL3250 Issued in FL

Legal business name

MAYA VISION CENTER, INC.

Practice address

771 S State Road 7
Plantation, FL 33317-4000

Phone

(954) 599-5905

Fax

(954) 584-5011

NPI assigned

Jul 17, 2007

Last updated

Jan 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Maya

Title

Officer/Owner

Phone

(954) 599-5905

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1629277975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 S STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174000",
            "telephone_number": "954-599-5905",
            "fax_number": "954-584-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 S STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174000",
            "telephone_number": "954-599-5905",
            "fax_number": "954-584-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "MAYA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICER/OWNER",
        "authorized_official_telephone_number": "954-599-5905",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL3250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620370101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620370100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonelle A Mattis, FNP-BC
• Stacey Mattocks
• Robert Matturro II, DC
• Andressa Maria Correia Mauriello, LMHC
• Caitlin V. Maus, CRNA
• Melissa Maya, PHARM.D
• Yaron H Maya, O.D.
• Tiffany Nadia Mayas, MD
• Vaylu Maymon, LCSW
• Mayo Medical Supplies LLC

• Optometrist in Plantation, FL
• Providers in Plantation, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.