Buena Vista Vision Club, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BUENA VISTA VISION CLUB, INC

Practice address

13780 SW 26TH St Ste 201
Miami, FL 33175-6302

Phone

(305) 439-2015

Fax

(305) 675-0443

NPI assigned

Nov 14, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Lieta Diaz Padron, ODNPI 1720210297

Title

Owner

Phone

(305) 713-8170

Specialties & licenses 1

Addresses

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Lieta Diaz Padron, O.D.

  • Optometrist
  • Miami, FL
  • NPI 1720210297
  NPD (past) Authorized official

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1972072494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16328 SW 43RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855328",
            "telephone_number": "305-713-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13780 SW 26TH ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756302",
            "telephone_number": "305-439-2015",
            "fax_number": "305-675-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA VISION CLUB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "DIAZ PADRON",
        "authorized_official_first_name": "LIETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-713-8170",
        "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": []
}

• Dayana Buelga Carlos
• Manuel S Buelga Garcia
• Buena Vida Wellness Center, Corp
• Buena Vista Assisted Living Facility
• Buena Vista Medical Services Inc
• Buenaventura Comunity Mental Health Inc
• Buenaventura Medical Center Inc
• Daniela Bueno Arenas
• Esther Marie Bueno Diaz, M.D.
• Laura V Bueno Diaz, D.D.S.

• 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 Nov 14, 2018; 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.