Edna Marie Ortolano, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9232T Issued in TX

Practice address

15575 NW 12TH PL
Pembroke Pines, FL 33028-1617

Phone

(954) 447-9007

NPI assigned

Feb 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Visioncare Family Inc

  • Optometrist
  • Cooper City, FL
  • NPI 1184645376
  NPD (past)

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1235270372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BELL SPRINGS RD",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786202401",
            "telephone_number": "954-540-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15575 NW 12TH PL",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281617",
            "telephone_number": "954-447-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTOLANO",
        "first_name": "EDNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3259",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9232T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620406601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ortiz-Correa, ST
• Agustin Ortiz, DPT
• Angelica Gabriela Ortiz, M.D.
• Teresita Ortiz, PHARM.D.
• Vanessa Ortiz
• Evelyn Ehiremhen Osakwe
• Jameel Osborne, MD
• Oscar Calvino LLC
• Rachel B Oshields, RBT
• Osmani Diaz DDS PA

• Optometrist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.