Organization Active NPI

Katherine L. Orellana-Medina

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1124321567
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3853 Issued in FL
Legal business name
KATHERINE L. ORELLANA-MEDINA
Practice address
11725 Pines Blvd
Optical
Pembroke Pines, FL 33026-4110
Phone
(954) 433-4883
Fax
(954) 431-7846
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Dr. Katherine Orellana-Medina, O.D.NPI 1356307193
Title
Owner
Phone
(917) 584-7555

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 3853 FL Primary

Addresses

Primary practice location

11725 Pines Blvd
Optical
Pembroke Pines, FL 33026-4110

Mailing address

285 SW 180TH Ave
Pembroke Pines, FL 33029-3903
Phone (917) 584-7555

Other names 1

  • Eyecare Consultants Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1124321567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SW 180TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293903",
            "telephone_number": "917-584-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 PINES BLVD",
            "address_2": "OPTICAL",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264110",
            "telephone_number": "954-433-4883",
            "fax_number": "954-431-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE L. ORELLANA-MEDINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "ORELLANA-MEDINA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-584-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Consultants",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.