Active NPI
Rosanna Richards-Delatour OD PA
- Optometrist
- Pembroke Pines, FL
National Provider Identifier
1194173567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3314
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider DirectoryNPI 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.