Organization Active NPI

Josefina Optical Center Inc

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1831496462
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0P1330 Issued in FL
Legal business name
JOSEFINA OPTICAL CENTER INC
Practice address
5372 W 16TH Ave
Hialeah, FL 33012-2165
Phone
(786) 478-3554
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Juana Josefina Muniz, O.D.
Title
President
Phone
(305) 884-3346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0P1330 FL Primary

Addresses

Primary practice location

5372 W 16TH Ave
Hialeah, FL 33012-2165

Mailing address

5372 W 16TH Ave
Hialeah, FL 33012-2165
Phone (786) 478-3554

Other identifiers 1

IdentifierTypeStateIssuer
078188600MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Josefina Optical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1831496462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122165",
            "telephone_number": "786-478-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122165",
            "telephone_number": "786-478-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEFINA OPTICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "JUANA",
        "authorized_official_middle_name": "JOSEFINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-884-3346",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "0P1330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078188600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.