Active NPI
1162 Military Trail LLC
Doing business as Laser Eye Center of Miami
- Optometrist
- Miami, FL
National Provider Identifier
1629489406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- 1162 MILITARY TRAIL LLC
- Doing business as
- Laser Eye Center of Miami
- Practice address
- 1661 SW 37TH Ave
Ste. 102
Miami, FL 33145-1754 - Phone
- (305) 461-2400
- Fax
- (305) 461-2902
- NPI assigned
- May 14, 2014
- Last updated
- May 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Galen Grayson, M.D.
- Title
- Medical Director/Owner
- Phone
- (877) 881-0022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
1661 SW 37TH Ave
Ste. 102
Miami, FL 33145-1754
Mailing address
1661 SW 37TH Ave
Ste. 102
Miami, FL 33145-1754
Phone (305) 461-2400
Other names 1
- Laser Eye Center of Miami
National Provider Directory
National Provider Directory- Tax ID family
- 1162 Military Trail LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Optometric Eyecare Center
- Corneal and Contact Management Optometrist
- West Palm Beach, FL
- NPI 1538417720
Locations
1661 SW 37th Ave
Ste 102
Miami, FL 33145
Phone (305) 443-3783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400025600000",
"number": "1629489406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 SW 37TH AVE",
"address_2": "STE. 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331451754",
"telephone_number": "305-461-2400",
"fax_number": "305-461-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 SW 37TH AVE",
"address_2": "STE. 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331451754",
"telephone_number": "305-461-2400",
"fax_number": "305-461-2902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1162 MILITARY TRAIL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-14",
"last_updated": "2014-05-14",
"status": "A",
"authorized_official_last_name": "GRAYSON",
"authorized_official_first_name": "GALEN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
"authorized_official_telephone_number": "877-881-0022",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laser Eye Center of Miami",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Miami, FL
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- 10X Health Ventures LLC
- 112619 Delaware Acquireco Inc (Edward Beiner)
- 1162 Military Trail LLC (The Eye Gallery-Miami)
- 123 Therapy Inc.
- 17TH Street Pharmacy & Discount, Inc
- 183 Dental Group, PA
- 1855 Tu Salud Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.