Organization Active NPI

Eye Society Inc

  • Optometrist
  • Miami, FL
National Provider Identifier
1679732978
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE SOCIETY INC
Practice address
4770 Biscayne Blvd
Suite 550
Miami, FL 33137-3202
Phone
(305) 576-5338
Fax
(305) 576-5366
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Dr. Pauline K Buck, OD, FAAO, ACOVD
Title
Doctor
Phone
(305) 576-5338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4770 Biscayne Blvd
Suite 550
Miami, FL 33137-3202

Mailing address

4770 Biscayne Blvd
Suite 550
Miami, FL 33137-3202
Phone (305) 576-5338

Other identifiers 1

IdentifierTypeStateIssuer
620110500MedicaidFL

National Provider Directory

National Provider Directory

Locations

4770 Biscayne Blvd
Ste 550
Miami, FL 33137
Phone (305) 576-5338

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1679732978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD",
            "address_2": "SUITE 550",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373202",
            "telephone_number": "305-576-5338",
            "fax_number": "305-576-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD",
            "address_2": "SUITE 550",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373202",
            "telephone_number": "305-576-5338",
            "fax_number": "305-576-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SOCIETY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "305-576-5338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, FAAO, ACOVD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620110500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 27, 2011; 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.