Active NPI
Scott Grossman OD PA
- Optometrist
- North Miami Beach, FL
National Provider Identifier
1003930868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4188
- Legal business name
- SCOTT GROSSMAN OD PA
- Practice address
- 18557 West Dixie Highway
North Miami Beach, FL 33180 - Phone
- (305) 466-0777
- Fax
- (305) 466-0773
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Grossman, OD PA
- Title
- Optometrist
- Phone
- (305) 466-0777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4188 | FL | Primary |
Addresses
Primary practice location
18557 West Dixie Highway
North Miami Beach, FL 33180
Mailing address
18557 W Dixie Hwy
Miami, FL 33180-2614
Phone (305) 466-0777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18557 W Dixie Hwy
Ste A
Miami, FL 33180
Phone (305) 466-0777
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Miami, FL
- NPI 1750484564
-
- Optometrist
- North Miami Beach, FL
- NPI 1326111592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276041600000",
"number": "1003930868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18557 W DIXIE HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331802614",
"telephone_number": "305-466-0777",
"fax_number": "305-466-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18557 WEST DIXIE HIGHWAY",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "33180",
"telephone_number": "305-466-0777",
"fax_number": "305-466-0773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT GROSSMAN OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2010-06-09",
"status": "A",
"authorized_official_last_name": "GROSSMAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "305-466-0777",
"authorized_official_credential": "OD PA"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.