OrganizationActive
1162 Military Trail LLC
NPI 1629489406 · Optometrist · Miami, FL
1162 Military Trail LLC is a Optometrist organization in Miami, FL (NPI 1629489406).
Provider details
- NPI number
- 1629489406
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Galen Grayson, Medical Director/Owner(877) 881-0022
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1661 Sw 37th Ave
Ste. 102
Miami, FL 33145-1754
Phone: (305) 461-2400
Fax: (305) 461-2902
Street-level locationGet directions
Mailing address
1661 Sw 37th Ave
Miami, FL 33145-1754
Other names (DBA / former)
- Doing business as
- Laser Eye Center of Miami
Registry dates
- Enumerated
- 2014-05-14
- Last updated
- 2014-05-14
Frequently asked questions
- What is 1162 Military Trail LLC's NPI number?
- 1162 Military Trail LLC's National Provider Identifier (NPI) is 1629489406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1162 Military Trail LLC?
- 1162 Military Trail LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is 1162 Military Trail LLC located?
- 1162 Military Trail LLC's practice location on file with NPPES is 1661 Sw 37th Ave, Miami, FL 33145-1754.
- What is 1162 Military Trail LLC's phone number?
- The practice phone number listed in the NPPES registry for 1162 Military Trail LLC is (305) 461-2400.
- Who is the authorized official for 1162 Military Trail LLC?
- The authorized official listed on 1162 Military Trail LLC's NPPES record is Galen Grayson, Medical Director/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1162 Military Trail LLC's NPI active?
- Yes — 1162 Military Trail LLC's NPI (1629489406) is active in the NPPES registry as of the last update on 2014-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.