Active NPI
Robert a Grand OD PA
- Optometrist
- Miami, FL
National Provider Identifier
1275672917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC1222
- Legal business name
- ROBERT A GRAND OD PA
- Practice address
- 8353 SW 124TH St
Suite 106
Miami, FL 33156-5851 - Phone
- (305) 233-2040
- Fax
- (305) 233-2052
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert A Grand, O.D
- Title
- Optometrist
- Phone
- (305) 233-2040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC1222 | FL | Primary |
Addresses
Primary practice location
8353 SW 124TH St
Suite 106
Miami, FL 33156-5851
Mailing address
8353 SW 124TH St
Suite 106
Miami, FL 33156-5851
Phone (305) 233-2040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078590300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Miami, FL
- NPI 1912646415
-
- Optometrist
- Miami, FL
- NPI 1326233685
-
- Optometrist
- Miami, FL
- NPI 1659389005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290124800000",
"number": "1275672917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8353 SW 124TH ST",
"address_2": "SUITE 106",
"city": "MIAMI",
"state": "FL",
"postal_code": "331565851",
"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",
"address_2": "SUITE 106",
"city": "MIAMI",
"state": "FL",
"postal_code": "331565851",
"telephone_number": "305-233-2040",
"fax_number": "305-233-2052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT A GRAND OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2010-11-19",
"status": "A",
"authorized_official_last_name": "GRAND",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "305-233-2040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078590300",
"state": "FL"
}
],
"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 Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.