Individual provider Active NPI

Andrea Z Koven, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1881813582
Registry record updated May 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 2319 Issued in FL
Practice address
8231 S Dixie Hwy
Miami, FL 33143-7717
Phone
(305) 666-8984
Fax
(305) 665-2853
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 2319 FL Primary

Addresses

Primary practice location

8231 S Dixie Hwy
Miami, FL 33143-7717

Mailing address

8231 S Dixie Hwy
Miami, FL 33143-7717
Phone (305) 666-8984

Other identifiers 1

IdentifierTypeStateIssuer
19969OtherFLBC AND BS PROVIDER ID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120730000489 FL Practitioner - Optometry 6709042153 Practice locations: South Miami, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 2319FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Optical Center, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683936000000",
    "number": "1881813582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8231 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437717",
            "telephone_number": "305-666-8984",
            "fax_number": "305-234-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8231 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437717",
            "telephone_number": "305-666-8984",
            "fax_number": "305-665-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVEN",
        "first_name": "ANDREA",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC AND BS PROVIDER ID",
            "identifier": "19969",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.