Individual provider Active NPI

Thailiz Vazquez Cedeno, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1912696535
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6299 Issued in FL
Practice address
245 NE 14TH St Apt 1709
Miami, FL 33132-1619
Phone
(786) 447-1044
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6299 FL Primary

Addresses

Primary practice location

245 NE 14TH St Apt 1709
Miami, FL 33132-1619

Mailing address

245 NE 14TH St Apt 1709
Miami, FL 33132-1619
Phone (786) 447-1044

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
I20230816002290 FL Practitioner - Optometry 2163884503 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Univida Optical, Inc. CurrentSince Jul 27, 2023 Accepting new patients
Vision VA Optical LLC Optometrist Current Accepting new patients

Locations

101 NW 57th Ave
Miami, FL 33126
Phone (305) 239-2515

6741 SW 24th St
Ste 54
Miami, FL 33155
Phone (305) 262-6272

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1912696535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 NE 14TH ST APT 1709",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321619",
            "telephone_number": "786-447-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 NE 14TH ST APT 1709",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321619",
            "telephone_number": "786-447-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ CEDENO",
        "first_name": "THAILIZ",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.