Organization Active NPI

North Miami Beach Eye Center LLC

  • Optometrist
  • North Miami Beach, FL
National Provider Identifier
1912197369
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3276 Issued in FL
Legal business name
NORTH MIAMI BEACH EYE CENTER LLC
Practice address
2000 NE 164TH St
North Miami Beach, FL 33162-4121
Phone
(305) 940-0037
Fax
(305) 940-1070
NPI assigned
Jul 31, 2007
Last updated
Feb 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Dr. Leon M Shechtman, ODNPI 1487669057
Title
President
Phone
(305) 940-0037

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
Optometrist 152W00000X OPC3276 FL Primary

Addresses

Primary practice location

2000 NE 164TH St
North Miami Beach, FL 33162-4121

Mailing address

2000 NE 164TH St
North Miami Beach, FL 33162-4121
Phone (305) 940-0037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060214000137 FL Part B Supplier - Clinic/Group Practice 4284649138 Receives reassigned benefits from 1 practitioner
Practice locations: North Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

1950 NE 163rd St
North Miami Beach, FL 33162
Phone (305) 940-0037

2000 NE 164th St
North Miami Beach, FL 33162
Phone (305) 940-0037

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1912197369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NE 164TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624121",
            "telephone_number": "305-940-0037",
            "fax_number": "305-940-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NE 164TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624121",
            "telephone_number": "305-940-0037",
            "fax_number": "305-940-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MIAMI BEACH EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "SHECHTMAN",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-940-0037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.