NPIMap

Organization Active NPI

ICU Eye Associates

Doing business as Miami Shore Optical

  • Optometrist
  • Miami Shores, FL
National Provider Identifier
1710397617
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3578 Issued in FL
Legal business name
ICU EYE ASSOCIATES
Doing business as
Miami Shore Optical
Practice address
9440 NE 2ND Ave
Miami Shores, FL 33138-2703
Phone
(786) 313-3048
Fax
(786) 313-3051
NPI assigned
Apr 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Dr. Frances M Dambrosio, ODNPI 1811308745
Title
President
Phone
(786) 313-3048

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 OPC3578 FL Primary

Addresses

Primary practice location

9440 NE 2ND Ave
Miami Shores, FL 33138-2703

Mailing address

9440 NE 2ND Ave
Miami Shores, FL 33138-2703
Phone (786) 313-3048

Other names 1

  • Miami Shore Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
ICU Eye Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9440 NE 2nd Ave
Miami Shores, FL 33138
Phone (786) 313-3048

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1710397617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382703",
            "telephone_number": "786-313-3048",
            "fax_number": "786-313-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382703",
            "telephone_number": "786-313-3048",
            "fax_number": "786-313-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICU EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "DAMBROSIO",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-313-3048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Shore Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.