Organization Active NPI

Premier Eye Group Inc

Doing business as Jade Optical

  • Optometrist
  • Miami, FL
National Provider Identifier
1730458456
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4122 Issued in FL
Legal business name
PREMIER EYE GROUP INC
Doing business as
Jade Optical
Practice address
13852 SW 88TH St
Miami, FL 33186-1304
Phone
(305) 804-0645
Fax
(305) 380-7106
NPI assigned
Dec 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Dr. Jesus Cuevas, OD
Title
Owner/Officer
Phone
(305) 385-6885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 4122 FL Primary

Addresses

Primary practice location

13852 SW 88TH St
Miami, FL 33186-1304

Mailing address

9549 NW 41St St
Doral, FL 33178-2371
Phone (305) 804-0645

Other identifiers 1

IdentifierTypeStateIssuer
OPC 4122OtherFLOPTOMETRY LICENSE NUMBER

Other names 1

  • JADE OPTICAL Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1730458456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9549 NW 41ST ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782371",
            "telephone_number": "305-804-0645",
            "fax_number": "305-380-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13852 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861304",
            "telephone_number": "305-804-0645",
            "fax_number": "305-380-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EYE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "305-385-6885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE NUMBER",
            "identifier": "OPC 4122",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JADE OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 1, 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.