Active NPI
William Zambrano Jr., O.D.
- Optometrist
- Miami Lakes, FL
National Provider Identifier
1841614872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 004908
- Practice address
- 15600 NW 67TH Ave
Suite 210
Miami Lakes, FL 33014-2174 - Phone
- (305) 825-2020
- Fax
- (305) 556-0557
- NPI assigned
- Feb 11, 2014
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 004908 | FL | Primary |
Addresses
Primary practice location
15600 NW 67TH Ave
Suite 210
Miami Lakes, FL 33014-2174
Mailing address
15600 NW 67TH Ave
Suite 210
Miami Lakes, FL 33014-2174
Phone (305) 825-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012036200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15600 NW 67TH Ave
Suite 210
Miami Lakes, FL 33014-2175
Phone (305) 825-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.42 of 100
- Quality
- 98.63
- Improvement activities
- 40
- Cost
- 73.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 004908 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Lakes Eye Care Center PA | Optometrist | Current | Accepting new patients |
Locations
15600 NW 67th Ave
Ste 210
Miami Lakes, FL 33014
Phone (305) 825-2020
Interoperability endpoints
- drzjr@miamilakeseye.direct.eyemdemr.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1841614872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15600 NW 67TH AVE",
"address_2": "SUITE 210",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142174",
"telephone_number": "305-825-2020",
"fax_number": "305-556-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 NW 67TH AVE",
"address_2": "SUITE 210",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142174",
"telephone_number": "305-825-2020",
"fax_number": "305-556-0557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMBRANO",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-11",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 004908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012036200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.