Organization Active NPI

Dr William Porter PA

  • Optometrist
  • Plantation, FL
National Provider Identifier
1205415148
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR WILLIAM PORTER PA
Practice address
805 S University Dr
Plantation, FL 33324-3317
Phone
(954) 473-2853
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Dr. William Ralph Porter, OD
Title
Dr of Optometry
Phone
(954) 473-2853

Specialties & licenses 1

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

Addresses

Primary practice location

805 S University Dr
Plantation, FL 33324-3317

Mailing address

12355 NW 15TH St
Pembroke Pines, FL 33026-4310
Phone (954) 673-2464

National Provider Directory

National Provider Directory

Locations

805 S University Dr
Plantation, FL 33324
Phone (954) 473-2761

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1205415148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12355 NW 15TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264310",
            "telephone_number": "954-673-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243317",
            "telephone_number": "954-473-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WILLIAM PORTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "DR OF OPTOMETRY",
        "authorized_official_telephone_number": "954-473-2853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.