Organization Active NPI

2020 Advanced Eyecare

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1871342816
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
2020 ADVANCED EYECARE
Practice address
1673 N Hiatus Rd
Pembroke Pines, FL 33026-2129
Phone
(954) 319-8468
NPI assigned
May 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Dr. Minina McKie, DHSC
Title
President
Phone
(954) 319-8468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1673 N Hiatus Rd
Pembroke Pines, FL 33026-2129

Mailing address

1673 N Hiatus Rd
Pembroke Pines, FL 33026-2129
Phone (954) 319-8468

National Provider Directory

National Provider Directory

Locations

1673 N Hiatus Rd
Pembroke Pines, FL 33026
Phone (954) 431-4262

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": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1871342816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 N HIATUS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262129",
            "telephone_number": "954-319-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 N HIATUS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262129",
            "telephone_number": "954-319-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2020 ADVANCED EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "MCKIE",
        "authorized_official_first_name": "MININA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-319-8468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHSC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.