Individual provider Active NPI

Georgina Maria Granados, D.O.

  • Optician
  • Hialeah, FL
National Provider Identifier
1356437859
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO 3966 Issued in FL
Practice address
553A E 9TH St
Hialeah, FL 33010-4549
Phone
(305) 887-1035
Fax
(305) 889-5941
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO 3966 FL Primary

Addresses

Primary practice location

553A E 9TH St
Hialeah, FL 33010-4549

Mailing address

553A E 9TH St
Hialeah, FL 33010-4549
Phone (130) 588-7103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO 3966FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
T and T Optical CurrentSince Dec 6, 2022 Accepting new patients

Locations

553A E 9th St
Hialeah, FL 33010
Phone (305) 887-1035

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1356437859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553A E 9TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104549",
            "telephone_number": "130-588-7103",
            "fax_number": "305-889-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553A E 9TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104549",
            "telephone_number": "305-887-1035",
            "fax_number": "305-889-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANADOS",
        "first_name": "GEORGINA",
        "middle_name": "MARIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO 3966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.