Individual provider Active NPI

Fabian Cepero De Armas, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1902084445
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC001076 Issued in FL
Practice address
3195 SW 3Rd Ave
Miami, FL 33129-2711
Phone
(305) 854-0110
Fax
(305) 854-4877
NPI assigned
Feb 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC001076 FL Primary

Addresses

Primary practice location

3195 SW 3Rd Ave
Miami, FL 33129-2711

Mailing address

3195 SW 3Rd Ave
Miami, FL 33129-2711
Phone (305) 854-0110

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
I20081106000108 FL Practitioner - Optometry 8820157852 Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC001076FLMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1902084445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 SW 3RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292711",
            "telephone_number": "305-854-0110",
            "fax_number": "305-854-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 SW 3RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292711",
            "telephone_number": "305-854-0110",
            "fax_number": "305-854-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ARMAS",
        "first_name": "FABIAN",
        "middle_name": "CEPERO",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.