Organization Active NPI

Optica Nicaraguense

  • Eyewear Supplier
  • Miami, FL
National Provider Identifier
1750634234
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OPTICA NICARAGUENSE
Practice address
10404 W Flagler St Ste 14
Miami, FL 33174-1667
Phone
(305) 559-3942
Fax
(305) 559-3053
NPI assigned
Oct 20, 2012
Last updated
Jul 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Argentina Hunter
Title
Owner
Phone
(305) 559-3942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

10404 W Flagler St Ste 14
Miami, FL 33174-1667

Mailing address

10404 W Flagler St Ste 14
Miami, FL 33174-1667
Phone (305) 559-3942

Other identifiers 1

IdentifierTypeStateIssuer
086836100MedicaidFL

National Provider Directory

National Provider Directory

Locations

10404 W Flagler St
Ste 14
Miami, FL 33174
Phone (305) 559-3942

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1350691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1750634234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 W FLAGLER ST STE 14",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741667",
            "telephone_number": "305-559-3942",
            "fax_number": "305-559-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10404 W FLAGLER ST STE 14",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741667",
            "telephone_number": "305-559-3942",
            "fax_number": "305-559-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICA NICARAGUENSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-20",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ARGENTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-559-3942"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086836100",
            "state": "FL"
        }
    ],
    "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 Jul 3, 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.