Warren K Gross OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1800 Issued in FL

Legal business name

WARREN K GROSS OD PA

Practice address

4580 Adams Ave
Miami Beach, FL 33140-2932

Phone

(305) 965-4193

Fax

(305) 534-9214

NPI assigned

Sep 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Waren K Gross, OD

Title

President/Optometrist

Phone

(305) 534-3634

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1283558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283558400000",
    "number": "1306153853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 ARTHUR GODFREY RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403510",
            "telephone_number": "305-534-3634",
            "fax_number": "305-534-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 ADAMS AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402932",
            "telephone_number": "305-965-4193",
            "fax_number": "305-534-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN K GROSS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-04",
        "last_updated": "2010-09-04",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "WAREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "305-534-3634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078274200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.