NPIMap

Organization Active NPI

Retina Macula Specialists of Miami LLC

  • Ophthalmology Physician
  • South Miami, FL
National Provider Identifier
1982021523
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME86697 Issued in FL
Legal business name
RETINA MACULA SPECIALISTS OF MIAMI LLC
Practice address
6705 S Red Rd Ste 514
South Miami, FL 33143-3644
Phone
(305) 655-0411
Fax
(305) 655-0499
NPI assigned
Mar 20, 2014
Organization subpart
Yes
Parent organization
RETINA MACULA SPECIALISTS OF MIAMI LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Jay Harris Levy, MD
Title
Managing Partner
Phone
(305) 653-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME86697 FL Primary

Addresses

Primary practice location

6705 S Red Rd Ste 514
South Miami, FL 33143-3644

Mailing address

184 NE 168TH St
North Miami Beach, FL 33162-3412
Phone (305) 655-0411

Other identifiers 1

IdentifierTypeStateIssuer
269577402MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Retina Macula Specialists of Miami LLC18 organizations share this tax ID, including this one
Part of
Retina Macula Specialists of Miami LLC

Other organizations with this tax ID 17

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

View all 17

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1982021523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 NE 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623412",
            "telephone_number": "305-655-0411",
            "fax_number": "305-655-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 S RED RD STE 514",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433644",
            "telephone_number": "305-655-0411",
            "fax_number": "305-655-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA MACULA SPECIALISTS OF MIAMI LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RETINA MACULA SPECIALISTS OF MIAMI LLC",
        "enumeration_date": "2014-03-20",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "305-653-6500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME86697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269577402",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.