Individual provider Active NPI

Debbie Felisha Ali, O.D

  • Optometrist
  • North Miami, FL
National Provider Identifier
1669929204
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5271 Issued in FL
Practice address
11645 Biscayne Blvd Ste 207
North Miami, FL 33181-3138
Phone
(305) 538-8835
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5271 FL Primary
Optometrist 152W00000X 8398 NY

Addresses

Primary practice location

11645 Biscayne Blvd Ste 207
North Miami, FL 33181-3138

Mailing address

5730 SW 54TH Avenue
Davie, FL 33314

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201216001946 FL Practitioner - Optometry 4789945262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5271FLMDOptometrist
8398NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Macula Specialists of Miami LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

351 NW 42nd Ave
Ste 501
Miami, FL 33126
Phone (305) 631-8300

2801 NE 213th St
Ste 1006
Miami, FL 33180
Phone (305) 945-7433

184 NE 168th St
North Miami Beach, FL 33162
Phone (305) 655-0411

1776 N Pine Island Rd
Ste 214
Plantation, FL 33322
Phone 9544529922208

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1669929204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 SW 54TH AVENUE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD STE 207",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813138",
            "telephone_number": "305-538-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "DEBBIE",
        "middle_name": "FELISHA",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5271",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "8398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.