Individual provider Active NPI

Amanda Reyes, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1700445772
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC005681 Issued in FL
Practice address
8485 SW 40TH St Ste 103
Miami, FL 33155-3262
Phone
(305) 223-6142
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC005681 FL Primary

Addresses

Primary practice location

8485 SW 40TH St Ste 103
Miami, FL 33155-3262

Mailing address

8485 SW 40TH St Ste 103
Miami, FL 33155-3262
Phone (305) 223-6142

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
I20191112001914 FL Practitioner - Optometry 3678805678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8485 Bird Rd
Suite 103
Miami, FL 33155-3262
Phone (305) 223-6142

8485 SW 40 St
Suite 103
Miami, FL 33155-3262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC005681FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bird Road Optical, Inc. Optometrist Current Accepting new patients

Locations

8485 SW 40th St
Ste 103
Miami, FL 33155
Phone (305) 223-6142

Organizations & group practices 2

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1700445772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8485 SW 40TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553262",
            "telephone_number": "305-223-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8485 SW 40TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553262",
            "telephone_number": "305-223-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.