Individual provider Active NPI

Rachel Shlomov

  • Optometrist
  • Aventura, FL
National Provider Identifier
1760119085
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6159 Issued in FL
Practice address
2627 NE 203Rd St Ste 116
Aventura, FL 33180-1945
Phone
(305) 814-2299
Fax
(888) 538-2099
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009635 NY
Optometrist 152W00000X 6159 FL Primary

Addresses

Primary practice location

2627 NE 203Rd St Ste 116
Aventura, FL 33180-1945

Mailing address

19355 Turnberry Way Apt 2C
Aventura, FL 33180-2532
Phone (917) 652-2046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815002389 FL Practitioner - Optometry 0547643157 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6159FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services Corp of Florida CurrentSince May 10, 2023 Accepting new patients
Revital Eyes PA Optometrist CurrentSince Dec 28, 2025 Accepting new patients

Locations

6363 Verde Trl
Boca Raton, FL 33433
Phone (561) 226-1885

2310 N Airport Rd
Fort Myers, FL 33907
Phone (239) 931-8401

8495 Normandy Blvd
Jacksonville, FL 32221
Phone (570) 352-3063

9869 SW 152nd St
Miami, FL 33157
Phone (305) 225-3220

800 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-1550

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1760119085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19355 TURNBERRY WAY APT 2C",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802532",
            "telephone_number": "917-652-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST STE 116",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801945",
            "telephone_number": "305-814-2299",
            "fax_number": "888-538-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLOMOV",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009635",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.