Organization Active NPI

Vision VA Optical LLC

  • Optometrist
  • Doral, FL
National Provider Identifier
1962351890
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION VA OPTICAL LLC
Practice address
2653 NW 79TH Ave
Doral, FL 33122-1036
Phone
(786) 447-1044
NPI assigned
Jan 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Dr. Thailiz Vazquez Cedeno, ODNPI 1912696535
Title
Manager
Phone
(786) 447-1044

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

2653 NW 79TH Ave
Doral, FL 33122-1036

Mailing address

1622 SW 139TH Ave
Miami, FL 33175-7501
Phone (786) 447-1044

National Provider Directory

National Provider Directory

Locations

2653 NW 79th Ave
Doral, FL 33122
Phone (786) 447-1044

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": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1962351890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 SW 139TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757501",
            "telephone_number": "786-447-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 NW 79TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221036",
            "telephone_number": "786-447-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION VA OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ CEDENO",
        "authorized_official_first_name": "THAILIZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-447-1044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.