Individual provider Active NPI

William Zambrano Jr., O.D.

  • Optometrist
  • Miami Lakes, FL
National Provider Identifier
1841614872
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 004908 Issued in FL
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

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
012036200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140918001560 FL Practitioner - Optometry 9234358516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Lakes Eye Care Center PAGroup PAC ID 8527043397, 4 clinicians

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 100Reported as group
Quality
98.63
Improvement activities
40
Cost
73.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 004908FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Lakes Eye Care Center PA Optometrist CurrentSince Jul 1, 2014 Accepting new patients

Locations

15600 NW 67th Ave
Ste 210
Miami Lakes, FL 33014
Phone (305) 825-2020

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.