Adina S. Gould OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3743 Issued in FL

Legal business name

ADINA S. GOULD OD PA

Practice address

4308 Alton Rd Ste 910
Miami Beach, FL 33140-4560

Phone

(786) 586-9404

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Adina S Gould, OD

Title

President

Phone

(786) 586-9404

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Florida Optometry Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Adina Gould OD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Adina Setren O.D., P.a.

  • Optometrist
  • Miami, FL
  • NPI 1780876755
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adina Setren-Gould, O.D.

  • Optometrist
  • Miami, FL
  • NPI 1326113226
  Medicare reassignment NPD

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1114106366",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "6535 ALLISON RD.",
            "city": "MIAMI BEACH",
            "state": "FLORIDA",
            "postal_code": "33141",
            "telephone_number": "786-586-9404",
            "fax_number": "305-695-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 910",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404560",
            "telephone_number": "786-586-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADINA S. GOULD OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "ADINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-586-9404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620880100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Florida Optometry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optometrist in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.

Verify at the official NPI Registry.