Expressive Eyes LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EXPRESSIVE EYES LLC

Practice address

15601 SW 127TH Ave
Miami, FL 33177-1406

Phone

(786) 250-3217

Fax

(786) 250-3249

NPI assigned

Jan 12, 2024

Last updated

Jan 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ivanka Acosta, ODNPI 1972377612

Title

Owner

Phone

(305) 748-5185

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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.

• Ivanka Acosta, OD

  • Optometrist
  • Miami, FL
  • NPI 1972377612
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1740051259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 NW 79TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666421",
            "telephone_number": "305-748-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15601 SW 127TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771406",
            "telephone_number": "786-250-3217",
            "fax_number": "786-250-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSIVE EYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "IVANKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-748-5185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Express RX Pharmacy Inc
• Express Team Services Inc
• Express Yourself Speech Language Therapy
• Express-Med Service Group, Inc
• Expresscare Supply Services, Inc.
• Expressive Minds Inc
• Exproge Group Inc
• Jason Extein, M.D.
• Extended Home Health Services, Inc.
• Extensive Services Corp

• Optometrist in Miami, FL
• Providers in Miami, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.