NPIMap

Organization Active NPI

Elite Eye Care of South Florida, P.a.

  • Optometrist
  • Doral, FL
National Provider Identifier
1821374265
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2941 Issued in FL
Legal business name
ELITE EYE CARE OF SOUTH FLORIDA, P.A.
Practice address
8025 NW 36TH St
#300
Doral, FL 33166-6625
Phone
(305) 717-9995
NPI assigned
Oct 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Michael Gordon, O.D.
Title
President
Phone
(305) 717-9995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2941 FL Primary

Addresses

Primary practice location

8025 NW 36TH St
#300
Doral, FL 33166-6625

Mailing address

8025 NW 36TH St
#300
Doral, FL 33166-6625
Phone (305) 717-9995

National Provider Directory

National Provider Directory

Locations

8025 NW 36TH St
300
Doral, FL 33166
Phone (305) 717-9995

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1821374265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 NW 36TH ST",
            "address_2": "#300",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666625",
            "telephone_number": "305-717-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 NW 36TH ST",
            "address_2": "#300",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666625",
            "telephone_number": "305-717-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE EYE CARE OF SOUTH FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-717-9995",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.