Individual provider Active NPI

Angelica M Cifuentes, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1912646415
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6097 Issued in FL
Practice address
10101 W Flagler St
Miami, FL 33174-1808
Phone
(305) 227-3380
NPI assigned
Jun 2, 2022
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6097 FL Primary

Addresses

Primary practice location

10101 W Flagler St
Miami, FL 33174-1808

Mailing address

15233 SW 37TH Ter
Miami, FL 33185-4770
Phone (305) 903-0683

Other practice location 1

8353 SW 124th St Ste 106
Miami, FL 33156-5847
Phone (305) 233-2040

Other practice location 2

7800 SW 104th St
Miami, FL 33156-2631
Phone (305) 270-0199

Other practice location 3

358 San Lorenzo Ave Spc 2305
Coral Gables, FL 33146-1860
Phone (786) 526-5053

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
I20230403000047 FL Practitioner - Optometry 4789064809 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6097FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa C. Marino, O.D., P.a. CurrentSince Mar 25, 2023 Accepting new patients
Blinking Owl Eyecare LLC Optometrist CurrentSince Nov 2, 2025 Accepting new patients
Robert a Grand OD PA Optometrist PastSince Mar 25, 2023 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

5800 S University Dr
Davie, FL 33328
Phone (954) 252-2583

8353 SW 124th St
Ste 106
Miami, FL 33156
Phone (305) 233-2040

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1912646415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15233 SW 37TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854770",
            "telephone_number": "305-903-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741808",
            "telephone_number": "305-227-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8353 SW 124th St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331565847",
            "country_code": "US",
            "telephone_number": "305-233-2040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7800 SW 104th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331562631",
            "country_code": "US",
            "telephone_number": "305-270-0199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "358 San Lorenzo Ave Spc 2305",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331461860",
            "country_code": "US",
            "telephone_number": "786-526-5053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIFUENTES",
        "first_name": "ANGELICA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.