Kizito Cedric Dennis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6396 Issued in FL

Practice address

1512 NW 208TH St
Miami Gardens, FL 33169-2247

Phone

(518) 334-0477

NPI assigned

Dec 12, 2023

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• KD Establishments

  • Optometrist
  • Miami Gardens, FL
  • NPI 1184594830
  NPD Authorized official
• Kizito Dennis OD LLC

  • Optometrist
  • Miami Gardens, FL
  • NPI 1700633831
  Authorized official Same address or phone

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1891563557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 NW 208TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 NW 208TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692247",
            "telephone_number": "518-334-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "KIZITO",
        "middle_name": "CEDRIC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Raynald Delice
• Marie C Delinois-Pean, FNP-C
• Ariadna Maria Delvasto, MD
• Danna Demezier, LMHC
• Daphny Denard
• Pamela Lutrea Denson
• Frantz Desamour
• Marie-Carole Desrosiers, M.D.
• Developing Our Community, Inc.
• Dailin Diaz Breijo

• Optometrist in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.