Active NPI
Roberto A. Ponce, MD
- Optometrist
- Miami, FL
National Provider Identifier
1861561458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2553
- Practice address
- 2903 NW 7TH St
Miami, FL 33125-4305 - Phone
- (305) 649-0555
- Fax
- (305) 642-3460
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 | OPC2553 | FL | Primary |
Addresses
Primary practice location
2903 NW 7TH St
Miami, FL 33125-4305
Mailing address
2903 NW 7TH St
Miami, FL 33125-4305
Phone (305) 649-0555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC2553 | Other | FL | MEDICAL LICENSE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201112000449 | FL | Practitioner - Optometry | 6800206368 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC2553 | FL | MD | Optometrist |
| 2553 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1861561458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2903 NW 7TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331254305",
"telephone_number": "305-649-0555",
"fax_number": "305-642-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2903 NW 7TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331254305",
"telephone_number": "305-649-0555",
"fax_number": "305-642-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONCE",
"first_name": "ROBERTO",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "OPC2553",
"state": "FL"
}
],
"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 29, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.