Organization Active NPI

Vanessa C. Marino, O.D., P.a.

  • Corneal and Contact Management Optometrist
  • Miami, FL
National Provider Identifier
1225452618
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC4223 Issued in FL
Legal business name
VANESSA C. MARINO, O.D., P.A.
Practice address
8353 SW 124TH St Ste 106
Miami, FL 33156-5847
Phone
(305) 233-2040
Fax
(305) 233-2052
NPI assigned
Feb 6, 2014
Last updated
Aug 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Authorized official

Name
Dr. Vanessa Caridad Marino, O.D.NPI 1326233685
Title
Opometrist
Phone
(305) 233-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC4223 FL Primary

Addresses

Primary practice location

8353 SW 124TH St Ste 106
Miami, FL 33156-5847

Mailing address

8353 SW 124TH St Ste 106
Miami, FL 33156-5847
Phone (305) 233-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140724002312 FL Part B Supplier - Clinic/Group Practice 9436375573 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1225452618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8353 SW 124TH ST STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565847",
            "telephone_number": "305-233-2040",
            "fax_number": "305-233-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8353 SW 124TH ST STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565847",
            "telephone_number": "305-233-2040",
            "fax_number": "305-233-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA C. MARINO, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "CARIDAD",
        "authorized_official_title_or_position": "OPOMETRIST",
        "authorized_official_telephone_number": "305-233-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC4223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.