NPIMap

Organization Active NPI

Envision Mobile Optical

  • Optician
  • Miami, FL
National Provider Identifier
1891253639
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
ENVISION MOBILE OPTICAL
Doing business as
Envision Mobile Optical
Practice address
14715 SW 112TH Ter
Miami, FL 33196-3326
Phone
(757) 609-1597
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Yoel SibadieNPI 1912495052
Title
President
Phone
(757) 609-1597

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

14715 SW 112TH Ter
Miami, FL 33196-3326

Mailing address

14715 SW 112TH Ter
Miami, FL 33196-3326
Phone (757) 609-1597

Other names 1

  • Envision Mobile Optical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1891253639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14715 SW 112TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963326",
            "telephone_number": "757-609-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14715 SW 112TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963326",
            "telephone_number": "757-609-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION MOBILE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "SIBADIE",
        "authorized_official_first_name": "YOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-609-1597"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Mobile 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 Mar 12, 2019; 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.