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ROBERTO A. PONCE MD
NPI 1861561458
Optometrist in Miami, FL

Active since November 07, 2006PECOS Enrolled
2903 NW 7TH ST, MIAMI, FL 33125(305) 649-0555(305) 642-3460 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2020, Aug 3, 2020, Sep 26, 2016 (3 updates tracked since 2016).

About Roberto A. Ponce Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERTO A. PONCE MD (NPI 1861561458) is an individual optometrist in Miami, Florida, licensed in Florida (OPC2553) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861561458
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameROBERTO A. PONCECredential: MD
Location Address2903 NW 7TH STMiami, FL 33125-4305
Mailing Address2903 Nw 7th StMiami, FL 33125-4305 · (305) 649-0555 · Fax (305) 642-3460
Phone(305) 649-0555
Fax(305) 642-3460
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateJanuary 29, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1861561458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC2553
Definition
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.
2903 NW 7TH ST, Miami, FL 33125
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Other Identifiers 1

OtherOPC2553FL · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roberto A. Ponce Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANTA FE MEDICAL CENTER INC
General Practice
2903 NW 7TH ST
MIAMI, FL 33125
Miami-Dade County (305) 643-2828
NNR INC
General Practice
2903 NW 7TH ST
MIAMI, FL 33125
Miami-Dade County (305) 643-2828
DR. IVAN RODRIGUEZ-MENA MARIN OD
Optometrist
2903 NW 7TH ST
MIAMI, FL 33125
Miami-Dade County (305) 649-0555
ROBERTO PONCE, OD PA
Optometrist
2903 NW 7TH ST
MIAMI, FL 33125
Miami-Dade County (305) 649-0555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roberto Ponce's NPI number?

The NPI number for Roberto Ponce is 1861561458. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Roberto Ponce located?

Roberto Ponce practices at 2903 NW 7th St, Miami, FL 33125. The listed phone number is (305) 649-0555.

What is Roberto Ponce's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Roberto Ponce enrolled in Medicare?

Yes. Roberto Ponce is registered in the Medicare PECOS enrollment system.

What insurance does Roberto Ponce accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Montana and 5 other insurers list Roberto Ponce as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roberto Ponce was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.