Individual provider Active NPI

Sydney Ellen Madrigal, OD

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1689296196
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5834 Issued in FL
Practice address
1732 N University Dr
Pembroke Pines, FL 33024-3602
Phone
(954) 432-7711
Fax
(954) 432-8017
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5834 FL Primary

Addresses

Primary practice location

1732 N University Dr
Pembroke Pines, FL 33024-3602

Mailing address

8450 NW 15TH CT
Pembroke Pines, FL 33024-4943
Phone (954) 662-3223

Other practice location 1

900 NW 17th St
Miami, FL 33136-1119
Phone (305) 243-2020

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
I20200824000867 FL Practitioner - Optometry 8022434919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert a. Davis O.D. P.a.Group PAC ID 4082644752, 5 clinicians

Practice addresses (Care Compare)

1732 N University Dr
Pembroke Pines, FL 33024-3602
Phone (954) 432-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5834FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Davis OD PA Optometrist CurrentSince Sep 5, 2024 Accepting new patients
Eye Physicians of Florida LLP CurrentSince May 8, 2022 Accepting new patients
University of Miami Optometrist CurrentSince Jul 2, 2020 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jul 2, 2020 Accepting new patients

Locations

5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

900 NW 17th St
Miami, FL 33136
Phone (305) 243-6605

1732 N University Dr
Pembroke Pines, FL 33024
Phone (954) 432-7711

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1689296196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 NW 15TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244943",
            "telephone_number": "954-662-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243602",
            "telephone_number": "954-432-7711",
            "fax_number": "954-432-8017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 NW 17th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361119",
            "country_code": "US",
            "telephone_number": "305-243-2020",
            "fax_number": "305-482-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRIGAL",
        "first_name": "SYDNEY",
        "middle_name": "ELLEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.