Organization Active NPI

Rosanna Richards-Delatour OD PA

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1194173567
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3314 Issued in FL
Legal business name
ROSANNA RICHARDS-DELATOUR OD PA
Practice address
12890 Pines Blvd
Pembroke Pines, FL 33027-1708
Phone
(954) 443-4699
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Rosanna Richards-Delatour, OD
Title
Business Owner/President
Phone
(954) 614-2638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 3314 FL Primary

Addresses

Primary practice location

12890 Pines Blvd
Pembroke Pines, FL 33027-1708

Mailing address

12890 Pines Blvd
Pembroke Pines, FL 33027-1708
Phone (954) 443-4699

Other names 1

  • Pines Vision Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1194173567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12890 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271708",
            "telephone_number": "954-443-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12890 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271708",
            "telephone_number": "954-443-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSANNA RICHARDS-DELATOUR OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDS-DELATOUR",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_title_or_position": "BUSINESS OWNER/PRESIDENT",
        "authorized_official_telephone_number": "954-614-2638",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pines Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 26, 2016; 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.