Ecb Dmall LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

ECB DMALL LLC

Doing business as

Eye Center Boutique

Practice address

8888 SW 136TH St Ste 140
Miami, FL 33176-5870

Phone

(787) 672-4833

NPI assigned

Nov 15, 2022

Last updated

Mar 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. George Zambrana

Title

President

Phone

(787) 672-4833

Specialties & licenses 2

Addresses

Other names 1

• EYE CENTER BOUTIQUE Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Barlas, OD

  • Corneal and Contact Management Optometrist
  • Miami Gardens, FL
  • NPI 1346919743
  Medicare reassignment NPD
• Sheryl Lynn Reaves, OD

  • Optometrist
  • Miami, FL
  • NPI 1023301280
  Medicare reassignment NPD

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1942919386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE SAN CLAUDIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264251",
            "telephone_number": "787-672-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 SW 136TH ST STE 140",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765870",
            "telephone_number": "787-672-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECB DMALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "ZAMBRANA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-672-4833",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GEORGE@CPAMEDPR.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "8888 SW 136th St Ste 140",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331765870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "EYE CENTER BOUTIQUE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EYE CENTER BOUTIQUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jessica Echaniz, APRN

• Eyewear Supplier in Miami, FL
• Providers in Miami, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.