NPIMap

Organization Active NPI

Bird Road Optical, Inc.

  • Eyewear Supplier
  • Miami, FL
National Provider Identifier
1861797482
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OE879 Issued in FL
Legal business name
BIRD ROAD OPTICAL, INC.
Practice address
8485 SW 40TH St
Suite 103
Miami, FL 33155-3244
Phone
(305) 223-6142
Fax
(305) 552-0824
NPI assigned
Jan 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Dora ReyesNPI 1578679932
Title
Owner
Phone
(305) 223-6142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Eyewear Supplier 332H00000X OE879 FL Primary

Addresses

Primary practice location

8485 SW 40TH St
Suite 103
Miami, FL 33155-3244

Mailing address

8485 SW 40TH St
Suite 103
Miami, FL 33155-3244
Phone (305) 223-6142

Other names 1

  • De Vista Optical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1861797482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8485 SW 40TH ST",
            "address_2": "SUITE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553244",
            "telephone_number": "305-223-6142",
            "fax_number": "305-552-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8485 SW 40TH ST",
            "address_2": "SUITE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553244",
            "telephone_number": "305-223-6142",
            "fax_number": "305-552-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRD ROAD OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "DORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-223-6142"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OE879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "De Vista Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 9, 2011; 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.