College Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 1726 Issued in FL

Legal business name

COLLEGE EYECARE LLC

Practice address

11099 SW 10TH St
Miami, FL 33199-0001

Phone

(305) 348-8439

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John A Clark, O.D.

Title

Manager

Phone

(352) 409-5783

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1922403005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2984 ALAFAYA TRL",
            "address_2": "# 1030",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657628",
            "telephone_number": "352-409-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11099 SW 10TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331990001",
            "telephone_number": "305-348-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-409-5783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Collazo, AP, DIPL. OM
• Sylvia Collazo, MSN - ARNP
• Yanet Collazo
• Yoleisi Collazo
• Lisa Collazzo, MD
• Alejandro Ernesto Collejo Vega
• Laura Collera Borges
• Daniela Collera Esperon
• Andro Collera
• Yohan Misael Collera

• Optometrist in Miami, FL
• Providers in Miami, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.