Healthcare Provider Details

I. General information

NPI: 1477247476
Provider Name (Legal Business Name): ALIVI BPO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5775 BLUE LAGOON DR STE 450
MIAMI FL
33126-2591
US

IV. Provider business mailing address

5775 BLUE LAGOON DR STE 450
MIAMI FL
33126-2591
US

V. Phone/Fax

Practice location:
  • Phone: 786-441-8500
  • Fax:
Mailing address:
  • Phone: 786-441-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State

VIII. Authorized Official

Name: RACHEL DAVIS
Title or Position: VP, COMPLIANCE
Credential:
Phone: 786-441-8500