Organization Active NPI

Ismart Vision Care

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1831894526
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ISMART VISION CARE
Practice address
650 NW 180TH Ter Ste 103
Pembroke Pines, FL 33029-2825
Phone
(954) 854-7910
NPI assigned
Apr 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Glenda Moheeputh
Title
Owner
Phone
(954) 854-7910

Specialties & licenses 1

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

Addresses

Primary practice location

650 NW 180TH Ter Ste 103
Pembroke Pines, FL 33029-2825

Mailing address

650 NW 180TH Ter Ste 103
Pembroke Pines, FL 33029-2825
Phone (954) 854-7910

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1831894526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 NW 180TH TER STE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292825",
            "telephone_number": "954-854-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NW 180TH TER STE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292825",
            "telephone_number": "954-854-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMART VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-02",
        "status": "A",
        "authorized_official_last_name": "MOHEEPUTH",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-854-7910"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.