FATEN EDRISKHALAF (NPI# 1427400175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427400175 |
| Entity Type | Individual |
| Full Name | FATEN EDRISKHALAF |
| Credential | O.D. |
| Practice Address |
4302 Alton Rd Ste 300 Miami Beach FL 33140 |
| Mailing Address |
50 Biscayne Blvd 3602 Miami FL 33132-2905 |
| Practice Telephone | 3056729989 |
| Practice Fax Number | 7862452006 |
| Mailing Telephone | 7864526690 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC5216 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | IU041U | 01 |
| Street Address |
4302 ALTON RD STE 300 |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578629770 | Michelle Koo | Podiatrist | 4302 Alton Rd Ste 300, Miami Beach, FL 33140-2818 | 2006-12-29 |
| 1356823900 | Intelliwellness LLC | Case Management | 4302 Alton Rd Ste 300, Miami Beach, FL 33140-2818 | 2018-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310660 | Melanee Beth Leventhal | Registered Nurse | 4101 Pine Tree Drive,unit1507, Miami Beach, FL 33140 | 2020-06-08 |
| 1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
| 1922587641 | Catherine A Prendiville | Social Worker | 975 Arthur Godfrey Rd, Suite 302, Miami Beach, FL 33140 | 2018-08-13 |
| 1346768991 | Eddy Montesino | Specialist/Technologist, Other | 4300 Alton Rd, Miami Beach, Miami, FL 33140 | 2017-09-05 |
| 1417477316 | Salud Pack Inc | Durable Medical Equipment & Medical Supplies | 5401 Collins Ave Suite Cu9, Miami Beach, FL 33140 | 2017-06-21 |
| 1205371580 | Sindy Ruiz | Behavior Technician | 5333 Collins Ave Apt.1102, Miami Beach, FL 33140 | 2016-12-22 |
| 1841655594 | Sofl Physicians Group LLC | Nutritionist | 4045 Sheridan Ave. #236, Miami Beach, FL 33140 | 2015-12-23 |
| 1174908982 | Merlyn Josende | Counselor | 5880 Collins Ave., #904, Miami Beach, FL 33140 | 2015-07-22 |
| 1720320955 | Nicholas Santiago Camps | Internal Medicine | 4302 Alton Rd Ste 670, Miami Beach, FL 33140 | 2013-03-26 |
| 1508102443 | Brenda Klepack | Counselor | 4701 N. Meridian, # 403522, Miamia Beach, FL 33140 | 2012-12-21 |
| Find all providers in zip 33140 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306153853 | Warren K Gross Od Pa | Optometrist | 4580 Adams Ave, Miami Beach, FL 33140-2932 | 2010-09-04 |
| 1356677579 | Roth Eye Care Pa | Optometrist | 1211 17th St, Miami Beach, FL 33139-2302 | 2009-10-22 |
| 1518190834 | Marta I Acosta Velez | Optometrist | 7330 Ocean Ter, Suite 2003, Miami Beach, FL 33141-2722 | 2009-09-02 |
| 1699907352 | Dr. Jason Xuna P.a. | Optometrist | 6917 Collins Ave, Suite 1426, Miami Beach, FL 33141-3263 | 2009-08-13 |
| 1265623086 | Adam Louis Stelzer | Optometrist | 6000 Indian Creek Dr, Apt. 1602, Miami Beach, FL 33140-2356 | 2007-08-07 |
| 1902029903 | See Inc | Optometrist | 921 Lincoln Rd, Miami Beach, FL 33139-2601 | 2007-04-10 |
| 1932141850 | Michael Joseph Siebert | Optometrist | 1354 Washington Ave, Suite 223, Miami Beach, FL 33139-4203 | 2006-06-12 |
| 1851332837 | Donald Shapiro | Optometrist | 1519 Alton Rd, Miami Beach, FL 33139-3301 | 2006-06-09 |
| 1366437022 | Ronald R Loring | Optometrist | 542 Arthur Godfrey Rd, Miami Beach, FL 33140-3510 | 2005-09-19 |
| 1093361503 | Dr Don Shapiro | Optometrist | 6989 Collins Ave, Miami Beach, FL 33141-3205 | 2019-08-12 |
| Find all providers in MIAMI BEACH | ||||
| City | MIAMI BEACH |
| Zip Code | 33140 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.