Individual provider Active NPI

Alex Berenthal, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1861567117
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1815 Issued in FL
Practice address
5730 Bird Rd
Miami, FL 33155-5302
Phone
(305) 661-2732
Fax
(305) 669-3157
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1815 FL Primary

Addresses

Primary practice location

5730 Bird Rd
Miami, FL 33155-5302

Mailing address

5730 Bird Rd
Miami, FL 33155-5302
Phone (305) 661-2732

Other identifiers 1

IdentifierTypeStateIssuer
6210708MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1861567117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555302",
            "telephone_number": "305-661-2732",
            "fax_number": "305-669-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555302",
            "telephone_number": "305-661-2732",
            "fax_number": "305-669-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENTHAL",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6210708",
            "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 Nov 14, 2007; 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.