Active NPI
Charles E. Perez-Blanco, D.O.
- Optician
- Miami, FL
National Provider Identifier
1841411154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO4775
- Practice address
- 2345 Coral Way
Miami, FL 33145 - Phone
- (305) 858-4500
- Fax
- (305) 858-8999
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO4775 | FL | Primary |
Addresses
Primary practice location
2345 Coral Way
Miami, FL 33145
Mailing address
2345 Coral Way
Miami, FL 33145
Phone (305) 858-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO4775 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pbo Enterprises Inc. | Past | Accepting new patients |
Organizations & group practices 1
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": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841411154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 CORAL WAY",
"city": "MIAMI",
"state": "FL",
"postal_code": "33145",
"telephone_number": "305-858-4500",
"fax_number": "305-858-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 CORAL WAY",
"city": "MIAMI",
"state": "FL",
"postal_code": "33145",
"telephone_number": "305-858-4500",
"fax_number": "305-858-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-BLANCO",
"first_name": "CHARLES",
"middle_name": "E.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO4775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.