Individual provider Active NPI

Norman Pemberton, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1225708282
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6015 Issued in FL
Practice address
701 S Miami Ave Unit 245B
Miami, FL 33130-1957
Phone
(646) 713-2312
Fax
(786) 513-3847
NPI assigned
Sep 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6015 FL Primary

Addresses

Primary practice location

701 S Miami Ave Unit 245B
Miami, FL 33130-1957

Mailing address

51 SW 11TH St Apt 1231
Miami, FL 33130-4151
Phone (305) 878-4534

Other identifiers 1

IdentifierTypeStateIssuer
OPC6015OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211221000245 FL Practitioner - Optometry 2163813437 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6015FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Unlimited LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients

Locations

13852 SW 88th St
Miami, FL 33186
Phone (305) 385-6885

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1225708282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SW 11TH ST APT 1231",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304151",
            "telephone_number": "305-878-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S MIAMI AVE UNIT 245B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301957",
            "telephone_number": "646-713-2312",
            "fax_number": "786-513-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "NORMAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPC6015",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.