Miami Shores Optical Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3388 Issued in FL

Legal business name

MIAMI SHORES OPTICAL INC.

Practice address

9440 NE 2ND Ave
Miami Shores, FL 33138-2703

Phone

(786) 313-3048

Fax

(786) 313-3051

NPI assigned

Nov 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Constantine Williams, O.D.

Title

Owner/Optometrist

Phone

(786) 313-3048

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Frances Molina D'Ambrosio

  • Optometrist
  • Miami Shores, FL
  • NPI 1811308745
  NPD (past)

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1831466358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382703",
            "telephone_number": "786-313-3048",
            "fax_number": "786-313-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382703",
            "telephone_number": "786-313-3048",
            "fax_number": "786-313-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI SHORES OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "CONSTANTINE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "786-313-3048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620628000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miami Shores Heart Center LLC
• Miami Shores Holistic Health, Inc.
• Miami Shores Medical Group LLC
• Miami Shores Modern Dentistry, PA
• Miami Shores Neurology & Sleep Institute, LLC
• Miami Shores Pediatrics
• Miami Shores Pediatrics, Inc
• Miami VA Medical Health Center
• Midland Medical Miami Shores Inc
• Nicolas Michael Milano, R.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.