NPIMap

Organization Active NPI

Giannie Castellanos OD PA

  • Optometrist
  • Miami, FL
National Provider Identifier
1932851656
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GIANNIE CASTELLANOS OD PA
Practice address
12002 SW 128TH CT Ste 102
Miami, FL 33186-4641
Phone
(305) 662-2990
NPI assigned
Jan 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Giannie Marie CastellanosNPI 1750514568
Title
Owner
Phone
(786) 251-5834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

12002 SW 128TH CT Ste 102
Miami, FL 33186-4641

Mailing address

8060 NW 155TH St Ste 201
Miami Lakes, FL 33016-5883
Phone (786) 251-5834

Other practice location 1

900 Biscayne Blvd Unit R106
Miami, FL 33132-1561
Phone (305) 662-2990

Other identifiers 1

IdentifierTypeStateIssuer
001425700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Giannie Castellanos OD PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 Biscayne Blvd
Unit R106
Miami, FL 33132

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1932851656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 NW 155TH ST STE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165883",
            "telephone_number": "786-251-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864641",
            "telephone_number": "305-662-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Biscayne Blvd Unit R106",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331321561",
            "country_code": "US",
            "telephone_number": "305-662-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GIANNIE CASTELLANOS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "GIANNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-251-5834"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001425700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.