NPIMap

Organization Active NPI

Illusion Optical Design, Inc.

  • Optometrist
  • Miami, FL
National Provider Identifier
1841596541
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ME34547 Issued in FL
Legal business name
ILLUSION OPTICAL DESIGN, INC.
Practice address
7931 SW Bird Road
#37
Miami, FL 33155-6748
Phone
(305) 262-0606
Fax
(305) 262-0996
NPI assigned
Jan 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Dr. Teresa Jesus Allende, MD
Title
VP
Phone
(305) 262-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ME34547 FL Primary

Addresses

Primary practice location

7931 SW Bird Road
#37
Miami, FL 33155-6748

Mailing address

7931 SW Bird Road
#37
Miami, FL 33155-6748
Phone (305) 262-0606

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1841596541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 SW BIRD ROAD",
            "address_2": "#37",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556748",
            "telephone_number": "305-262-0606",
            "fax_number": "305-262-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7931 SW BIRD ROAD",
            "address_2": "#37",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556748",
            "telephone_number": "305-262-0606",
            "fax_number": "305-262-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUSION OPTICAL DESIGN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "ALLENDE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "305-262-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "ME34547",
            "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 Jan 28, 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.