Sunny Isles Eye Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3753 Issued in FL

Legal business name

SUNNY ISLES EYE CENTER INC

Practice address

17100 Collins Ave
#112
Sunny Isles Beach, FL 33160-3675

Phone

(305) 917-1037

Fax

(305) 917-1337

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marina Yagudaev, O. D.NPI 1447209887

Title

Optometris

Phone

(305) 917-1037

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marina Yagudaev, O. D.

  • Optometrist
  • Sunny Isles, FL
  • NPI 1447209887
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1851597611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 COLLINS AVE",
            "address_2": "#112",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603675",
            "telephone_number": "305-917-1037",
            "fax_number": "305-917-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 COLLINS AVE",
            "address_2": "#112",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603675",
            "telephone_number": "305-917-1037",
            "fax_number": "305-917-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY ISLES EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "YAGUDAEV",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OPTOMETRIS",
        "authorized_official_telephone_number": "305-917-1037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620825801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel Benjamin Stern, MD
• Diana Stremousova, ARNP
• Crisbel Suarez
• Sunny Coast Home Care Inc
• Sunny Isles Dental
• Sunny Isles Medical Clinic
• Sunny Isles Pediatrics, PA
• Sunny Isles Primary Care LLC
• Sunny Isles Psych Associates PLLC
• Sunny Medical Miami, LLC

• Optometrist in Sunny Isles Beach, FL
• Providers in Sunny Isles Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.