Organization Active NPI

Marlene Cruz-Govin O D PA

  • Optometrist
  • Weston, FL
National Provider Identifier
1245401538
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2935 Issued in FL
Legal business name
MARLENE CRUZ-GOVIN O D PA
Practice address
4577 Weston Rd
Weston, FL 33331-3141
Phone
(954) 217-5070
Fax
(954) 217-5070
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Dr. Marlene Cruz-Govin
Title
President
Phone
(954) 275-1437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2935 FL Primary

Addresses

Primary practice location

4577 Weston Rd
Weston, FL 33331-3141

Mailing address

10521 Marin Ranches Dr
Cooper City, FL 33328-6301
Phone (954) 275-1437

National Provider Directory

National Provider Directory

Locations

16359 Miramar Pkwy
Miramar, FL 33027
Phone (954) 517-9041

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1245401538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 MARIN RANCHES DR",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333286301",
            "telephone_number": "954-275-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4577 WESTON RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313141",
            "telephone_number": "954-217-5070",
            "fax_number": "954-217-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLENE CRUZ-GOVIN O D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "CRUZ-GOVIN",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-275-1437",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.