NPIMap

Organization Active NPI

Ceo/Center for Executive Ophthalmoloogy

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1639366909
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME44196 Issued in FL
Legal business name
CEO/CENTER FOR EXECUTIVE OPHTHALMOLOOGY
Doing business as
CEO
Practice address
1661 SW 37TH Ave
Miami, FL 33145-1754
Phone
(305) 461-2400
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Alfred H Rivera, MD
Title
President
Phone
(305) 666-2365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME44196 FL Primary

Addresses

Primary practice location

1661 SW 37TH Ave
Miami, FL 33145-1754

Mailing address

PO Box 566120
Pinecrest, FL 33256-6120
Phone (305) 666-2365

Other names 1

  • CEO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ceo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1639366909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566120",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "332566120",
            "telephone_number": "305-666-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 SW 37TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451754",
            "telephone_number": "305-461-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEO/CENTER FOR EXECUTIVE OPHTHALMOLOOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-666-2365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME44196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CEO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.