Individual provider Active NPI

Gabriel George Lazcano, M.D.

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1699776534
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME77719 Issued in FL
Practice address
1661 SW 37TH Ave
Miami, FL 33145-1754
Phone
(305) 461-2400
Fax
(305) 461-2902
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME77719 FL Primary

Addresses

Primary practice location

1661 SW 37TH Ave
Miami, FL 33145-1754

Mailing address

1661 SW 37TH Ave
Miami, FL 33145-1754
Phone (305) 461-2400

Other identifiers 2

IdentifierTypeStateIssuer
46324OtherFLBCBS
008838500MedicaidFL

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001988 FL Practitioner - Ophthalmology 5294710513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Laser Eye Center of Miami IncGroup PAC ID 1153646393, 3 clinicians

Practice addresses (Care Compare)

1661 SW 37TH Ave
Miami, FL 33145-1778
Phone (305) 461-2400

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME77719FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Laser Eye Center of Miami, Inc. Ophthalmology CurrentSince Sep 4, 2014 Accepting new patients
South Florida Eye Associates, PA Ophthalmology Past Accepting new patients
Aran Eye Associates PA Past Accepting new patients
Aran Eye Associates PA Past Accepting new patients
South Florida Eye Associates, PA Ophthalmology Past Accepting new patients

Locations

2645 SW 37th Ave
Ste 400
Miami, FL 33133
Phone (305) 447-0882

1661 SW 37th Ave
Miami, FL 33145
Phone (305) 443-4733

Interoperability endpoints

  • Direct secure messaging: glazcano@lecm.direct.eyemdemr.com

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1699776534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 SW 37TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451754",
            "telephone_number": "305-461-2400",
            "fax_number": "305-461-2902"
        },
        {
            "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",
            "fax_number": "305-461-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZCANO",
        "first_name": "GABRIEL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME77719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46324",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008838500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.