Coral Springs Vision Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3853 Issued in FL

Legal business name

CORAL SPRINGS VISION CARE PLLC

Doing business as

VISION SOURCE Coral Springs

Practice address

9773 W Sample Rd
Coral Springs, FL 33065-4003

Phone

(954) 753-0137

Fax

(954) 753-0139

NPI assigned

Mar 20, 2010

Last updated

Oct 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Orellana-Medina, O.D.NPI 1356307193

Title

Manager/Owner

Phone

(954) 753-0137

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VISION SOURCE Coral Springs Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Orellana Medina, O.D.

  • Optometrist
  • Coral Springs, FL
  • NPI 1356307193
  Authorized official Same address or phone

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

{
    "created_epoch": "1269043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1346564325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9773 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654003",
            "telephone_number": "954-753-0137",
            "fax_number": "954-753-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9773 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654003",
            "telephone_number": "954-753-0137",
            "fax_number": "954-753-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL SPRINGS VISION CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-20",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "ORELLANA-MEDINA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "954-753-0137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000557300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "FM674A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISION SOURCE Coral Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coral Springs Smiles, PA
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• Coral Springs Spine & Nerve, Inc
• Coral Springs Surgi-Center LTD (Surgery Center at Coral Springs)
• Coral Springs Urgent Care LLC
• Coral Stone Retirement Facility
• Hugh Corbin, COTA
• Tara Cordy, MSED, SBL,SDL
• Cornerstone Caregiving East LLC
• Cornerstone Counseling South Florida LLC

• Optometrist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.