Mitchell J Marder P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC001674 Issued in FL

Legal business name

MITCHELL J MARDER P.A.

Practice address

4923 Coconut Creek Pkwy
Coconut Creek, FL 33063-3909

Phone

(954) 970-4266

NPI assigned

Jun 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell J Marder, O.D.

Title

President

Phone

(561) 445-3086

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Stemmler Rosenthal, OD

  • Optometrist
  • Margate, FL
  • NPI 1225148422
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1235491820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11368 ISLAND LAKES LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986805",
            "telephone_number": "561-445-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 COCONUT CREEK PKWY",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633909",
            "telephone_number": "954-970-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL J MARDER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "MARDER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-445-3086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078119100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirdine Emmeline Minviel
• Nayara Damiann Miranda, DC
• Beverly Mireles-James, FNP-BC
• Raquel Christina Miret, M.S, LMHC
• Robere Jannik Missirian, M.D.
• Erica Nicole Mitchell
• Dawn Molina, OTR/L
• Emerson Molina, PHARMD
• Kevin Wayne Money, CRTT
• Migmarie Montanez

• Optometrist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.