Active NPI
Rosanna Richards-Delatour, O.D.
- Optometrist
- Sunrise, FL
National Provider Identifier
1194053652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3314
- Practice address
- 13191 W Sunrise Blvd
Sunrise, FL 33323-0905 - Phone
- (954) 614-2638
- NPI assigned
- Nov 21, 2009
- Last updated
- Nov 21, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 3314 | FL | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OPC3314 | FL |
Addresses
Primary practice location
13191 W Sunrise Blvd
Sunrise, FL 33323-0905
Mailing address
10600 NW 7TH St
Plantation, FL 33324-1013
Phone (954) 614-2638
Other names 1
- Rosanna Richards
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 3314 | FL | MD | Optometrist |
| OPC3314 | FL | MD | Corneal and Contact Management Optometrist |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258761600000",
"number": "1194053652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10600 NW 7TH ST",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241013",
"telephone_number": "954-614-2638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13191 W SUNRISE BLVD",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333230905",
"telephone_number": "954-614-2638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS-DELATOUR",
"first_name": "ROSANNA",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-21",
"last_updated": "2009-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3314",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "FL",
"license": "OPC3314",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSANNA",
"last_name": "RICHARDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.