Individual provider Active NPI

Kathleen Margaret Macrina, O.D.

  • Optometrist
  • Naples, FL
National Provider Identifier
1215139282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FLOPC0000002862 Issued in FL
Practice address
6275 Naples Blvd
Naples, FL 34109-2030
Phone
(239) 596-6414
Fax
(239) 596-0030
NPI assigned
Jun 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X FLOPC0000002862 FL Primary

Addresses

Primary practice location

6275 Naples Blvd
Naples, FL 34109-2030

Mailing address

5781 Hammock Isles Dr
Naples, FL 34119-4695
Phone (239) 272-9031

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

LicenseStateTypeSpecialty
FLOPC0000002862FLMDOptometrist

Interoperability endpoints

  • Direct secure messaging: kathleen.macrina@uprisedirect.com

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215139282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5781 HAMMOCK ISLES DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194695",
            "telephone_number": "239-272-9031",
            "fax_number": "239-596-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 NAPLES BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092030",
            "telephone_number": "239-596-6414",
            "fax_number": "239-596-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACRINA",
        "first_name": "KATHLEEN",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FLOPC0000002862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.