Organization Active NPI

CG Eyecare of Florida, Inc

Doing business as CG EyeCare of Florida

  • Optometrist
  • Miami, FL
National Provider Identifier
1689251332
Registry record updated Mar 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CG EYECARE OF FLORIDA, INC
Doing business as
CG EyeCare of Florida
Practice address
11662 N Kendall Dr
Miami, FL 33176-1005
Phone
(305) 279-6404
Fax
(305) 515-2717
NPI assigned
Mar 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2021

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

Authorized official

Name
Dr. Alice Cioara, ODNPI 1518190677
Title
Owner
Phone
(954) 864-6510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11662 N Kendall Dr
Miami, FL 33176-1005

Mailing address

11662 N Kendall Dr
Miami, FL 33176-1005
Phone (305) 279-6404

Other names 1

  • CG EyeCare of Florida Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210628001809 FL Part B Supplier - Clinic/Group Practice 1850792995 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616803200000",
    "number": "1689251332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11662 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761005",
            "telephone_number": "305-279-6404",
            "fax_number": "305-515-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11662 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761005",
            "telephone_number": "305-279-6404",
            "fax_number": "305-515-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG EYECARE OF FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A",
        "authorized_official_last_name": "CIOARA",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-864-6510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CG EyeCare of Florida",
            "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 Mar 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.