Active NPI
Joann Parise
- Optometrist
- Boca Raton, FL
National Provider Identifier
1174584056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3823
- Practice address
- 318 E Palmetto Park Rd
Boca Raton, FL 33432-5016 - Phone
- (561) 338-0081
- Fax
- (561) 338-8291
- NPI assigned
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3823 | FL | Primary |
Addresses
Primary practice location
318 E Palmetto Park Rd
Boca Raton, FL 33432-5016
Mailing address
300 S Australian Ave
Unit 425
West Palm Beach, FL 33401-5083
Phone (561) 373-3049
Other names 1
- Joann Dung Pham
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC3823 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586476800000",
"number": "1174584056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S AUSTRALIAN AVE",
"address_2": "UNIT 425",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015083",
"telephone_number": "561-373-3049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 E PALMETTO PARK RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334325016",
"telephone_number": "561-338-0081",
"fax_number": "561-338-8291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARISE",
"first_name": "JOANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANN",
"last_name": "PHAM",
"middle_name": "DUNG",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.