1162 MILITARY TRAIL LLC — NPI 1629489406 (Licensed & Credentialed Optometrist in MIAMI, FL)

Plain-English Taxonomy Translation (152W00000X)

What Does Taxonomy Code 152W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152W00000X translates in plain language to:
"Licensed & Credentialed Optometrist"

Primary Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
When Patients Should Consult: Consult a verified Optometrist for specialized diagnostic evaluation, treatment planning, and continuity of care.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 1162 MILITARY TRAIL LLC:

High-Volume Clinical Procedures & Diagnostics:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic & Prescribing Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1629489406 (NPI-2 Organization / Facility)
Provider / Legal Name	1162 MILITARY TRAIL LLC
Plain-English Specialty	Licensed & Credentialed Optometrist NUCC Code: `152W00000X` (Optometrist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1661 SW 37TH AVE, STE. 102, MIAMI, FL, 331451754
Practice Telephone / Fax	Tel: 305-461-2400 \| Fax: 305-461-2902
Administrative Mailing Address	1661 SW 37TH AVE, MIAMI, FL, 331451754
Enumeration & Last Sync	Enumerated: 2014-05-14 \| Updated: 2014-05-14
Authorized Official	GALEN GRAYSON (Medical Director/Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1661 SW 37TH AVE, STE. 102, MIAMI, FL, 331451754

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ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`152W00000X` — Optometrist Plain English: Licensed & Credentialed Optometrist	State: N/A \| License: Verified \| Primary Taxonomy: Yes

1162 MILITARY TRAIL LLC (NPI #1629489406)