Opticare Direct LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

OPTICARE DIRECT LLC

Practice address

1140 NW 159TH Dr
Miami Gardens, FL 33169-5808

Phone

(718) 722-0269

NPI assigned

May 27, 2021

Organization subpart

No

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

Authorized official

Name

Leah Bogomilsky

Title

Owner

Phone

(718) 722-0268

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1992371322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 NW 159TH DR",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695808",
            "telephone_number": "718-722-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 NW 159TH DR",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695808",
            "telephone_number": "718-722-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICARE DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "BOGOMILSKY",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-722-0268"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.