Organization Active NPI

Alex Berenthal O D P a

  • Optometrist
  • Miami, FL
National Provider Identifier
1992861165
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1815 Issued in FL
Legal business name
ALEX BERENTHAL O D P A
Practice address
5730 Bird Rd
Miami, FL 33155-5302
Phone
(305) 661-2732
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Dr. Alex Berenthal, ODNPI 1861567117
Title
Sole Owner Optometrist
Phone
(305) 661-2732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1815 FL Primary

Addresses

Primary practice location

5730 Bird Rd
Miami, FL 33155-5302

Mailing address

5730 Bird Rd
Miami, FL 33155-5302
Phone (305) 661-2732

Other identifiers 1

IdentifierTypeStateIssuer
621070800MedicaidFL

National Provider Directory

National Provider Directory

Locations

5730 Bird Rd
Miami, FL 33155
Phone (305) 661-2732

5753 Bird Rd
Ste C
Miami, FL 33155
Phone (305) 661-2732

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1992861165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555302",
            "telephone_number": "305-661-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555302",
            "telephone_number": "305-661-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX BERENTHAL O D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "BERENTHAL",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "SOLE OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "305-661-2732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621070800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.