Individual provider Active NPI

Philip Ronald Margolesky, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1114043536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC000833 Issued in FL
Practice address
7437 N Kendall Dr
Suite B
Miami, FL 33156-7702
Phone
(305) 665-1044
Fax
(305) 665-6895
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC000833 FL Primary

Addresses

Primary practice location

7437 N Kendall Dr
Suite B
Miami, FL 33156-7702

Mailing address

10600 SW 138TH St
Miami, FL 33176-6681
Phone (305) 255-6614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPC000833FLMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114043536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 SW 138TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331766681",
            "telephone_number": "305-255-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7437 N KENDALL DR",
            "address_2": "SUITE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567702",
            "telephone_number": "305-665-1044",
            "fax_number": "305-665-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLESKY",
        "first_name": "PHILIP",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC000833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.