Organization Active NPI

Express Vision Care, Inc.

  • Eyewear Supplier
  • Hialeah, FL
National Provider Identifier
1912255365
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
DO6361 Issued in FL
Legal business name
EXPRESS VISION CARE, INC.
Practice address
1550 W 84TH St Ste 15
Hialeah, FL 33014-3368
Phone
(786) 587-7404
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Raul Lopez, LDO
Title
Optician
Phone
(786) 587-7404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X DO6361 FL Primary

Addresses

Primary practice location

1550 W 84TH St Ste 15
Hialeah, FL 33014-3368

Mailing address

1550 W 84TH St Ste 15
Hialeah, FL 33014-3368
Phone (786) 587-7404

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Express Vision Care, Inc.1550 W 84TH St, Hialeah, FL 33014-3368(786) 587-7404 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Feb 15, 2013

National Provider Directory

National Provider Directory

Locations

1550 W 84th St
Ste 15
Hialeah, FL 33014
Phone (305) 824-1448

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1912255365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W 84TH ST STE 15",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143368",
            "telephone_number": "786-587-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W 84TH ST STE 15",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143368",
            "telephone_number": "786-587-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS VISION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "786-587-7404",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "DO6361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.