Organization Active NPI

Joel Marantz, OD,PA

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1194885632
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC000831 Issued in FL
Legal business name
JOEL MARANTZ, OD,PA
Practice address
929 1St Ave N
St Petersburg, FL 33705-1501
Phone
(727) 898-3155
Fax
(727) 821-1912
NPI assigned
Dec 12, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Joel L Marantz, OD
Title
President
Phone
(727) 898-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC000831 FL Primary

Addresses

Primary practice location

929 1St Ave N
St Petersburg, FL 33705-1501

Mailing address

929 1St Ave N
St Petersburg, FL 33705-1501
Phone (727) 898-3155

National Provider Directory

National Provider Directory

Locations

929 1st Ave N
St Petersburg, FL 33705
Phone (727) 898-3155

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1194885632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051501",
            "telephone_number": "727-898-3155",
            "fax_number": "727-821-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051501",
            "telephone_number": "727-898-3155",
            "fax_number": "727-821-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL MARANTZ, OD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "MARANTZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-898-3155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC000831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.