Organization Active NPI

Marco Polo Optica

  • Technician/Technologist
  • Miami, FL
National Provider Identifier
1992911929
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
License
3569317 Issued in FL
Legal business name
MARCO POLO OPTICA
Practice address
1701 W Flagler St Ste 3
Miami, FL 33135-2098
Phone
(305) 649-4527
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Rosa Fernandez
Title
Optician
Phone
(305) 649-4527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156F00000X 3569317 FL Primary

Addresses

Primary practice location

1701 W Flagler St Ste 3
Miami, FL 33135-2098

Mailing address

1701 W Flagler St Ste 3
Miami, FL 33135-2098
Phone (305) 649-4527

Other identifiers 1

IdentifierTypeStateIssuer
086366100MedicaidFL

National Provider Directory

National Provider Directory

Locations

1701 W Flagler St
Ste 3
Miami, FL 33135
Phone (305) 649-4527

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1992911929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W FLAGLER ST STE 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352098",
            "telephone_number": "305-649-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W FLAGLER ST STE 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352098",
            "telephone_number": "305-649-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCO POLO OPTICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "305-649-4527"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist",
            "state": "FL",
            "license": "3569317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086366100",
            "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 Apr 12, 2011; 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.