Organization Active NPI

Diana P. Camargo O.D., P.a.

  • Optometrist
  • Fort Lauderdale, FL
National Provider Identifier
1366866063
Registry record updated Feb 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4304 Issued in FL
Legal business name
DIANA P. CAMARGO O.D., P.A.
Practice address
2900 W Cypress Creek Rd
Suite 1
Fort Lauderdale, FL 33309-1715
Phone
(954) 979-2191
Fax
(954) 979-8988
NPI assigned
Feb 16, 2014
Last updated
Feb 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2014

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

Authorized official

Name
Dr. Diana Patricia Camargo, O.D.NPI 1811141286
Title
President
Phone
(954) 491-5628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4304 FL Primary

Addresses

Primary practice location

2900 W Cypress Creek Rd
Suite 1
Fort Lauderdale, FL 33309-1715

Mailing address

5730 NE 16TH Ave
Fort Lauderdale, FL 33334-5987
Phone (954) 491-5628

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1392508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392508800000",
    "number": "1366866063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 NE 16TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333345987",
            "telephone_number": "954-491-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD",
            "address_2": "SUITE 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091715",
            "telephone_number": "954-979-2191",
            "fax_number": "954-979-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA P. CAMARGO O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-16",
        "last_updated": "2014-02-16",
        "status": "A",
        "authorized_official_last_name": "CAMARGO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-491-5628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2014; 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.