Individual provider Active NPI

Areege Afaneh, O.D.

  • Optometrist
  • Doral, FL
National Provider Identifier
1912238478
Registry record updated Oct 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4417 Issued in FL
Practice address
10676 NW 19TH St
Doral, FL 33172-2542
Phone
(786) 465-4836
Fax
(305) 675-3370
NPI assigned
Jan 22, 2010
Last updated
Oct 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4779 MA
Optometrist 152W00000X OPC4417 FL Primary

Addresses

Primary practice location

10676 NW 19TH St
Doral, FL 33172-2542

Mailing address

10676 NW 19TH St
Doral, FL 33172-2542
Phone (954) 709-0259

Other practice location 1

50 Staniford St
Suite 600
Boston, MA 02114-2517
Phone (800) 635-0489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4779MAMDOptometrist

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: afaneh.areege.p1@direct.caremax.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1912238478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10676 NW 19TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722542",
            "telephone_number": "954-709-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10676 NW 19TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722542",
            "telephone_number": "786-465-4836",
            "fax_number": "305-675-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Staniford St",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142517",
            "country_code": "US",
            "telephone_number": "800-635-0489",
            "fax_number": "617-589-0552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFANEH",
        "first_name": "AREEGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4779",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; 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.