Organization Active NPI

Mario M Perez OD,PA

  • Optometrist
  • Miami, FL
National Provider Identifier
1710310255
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1334 Issued in FL
Legal business name
MARIO M PEREZ OD,PA
Practice address
1846 SW 8TH St
Miami, FL 33135-3418
Phone
(305) 642-4300
Fax
(305) 644-0845
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Mr. Mario M Perez, OD
Title
President
Phone
(305) 642-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1334 FL Primary

Addresses

Primary practice location

1846 SW 8TH St
Miami, FL 33135-3418

Mailing address

1846 SW 8TH St
Miami, FL 33135-3418
Phone (305) 642-4300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1710310255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353418",
            "telephone_number": "305-642-4300",
            "fax_number": "305-644-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353418",
            "telephone_number": "305-642-4300",
            "fax_number": "305-644-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO M PEREZ OD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-642-4300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1334",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 20, 2013; 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.