Virginia Perdomo, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

OD7242 Issued in FL

Practice address

3773 W Flagler St
Coral Gables, FL 33134-1601

Phone

(786) 357-6748

NPI assigned

Mar 12, 2024

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Optic City, Corp

  dba Optic City

  • Eyewear Supplier
  • Coral Gables, FL
  • NPI 1043067218
  NPD Authorized official

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1376301515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13973 SW 46TH TER APT C223",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754433",
            "telephone_number": "786-357-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341601",
            "telephone_number": "786-357-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDOMO",
        "first_name": "VIRGINIA",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "OD7242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Penas, M.D.
• Angel Luis Penate
• Geilin Y. Peralta, BSW
• Erika Marie Perdomo
• Robert Luis Perdomo III, DMD
• Elizabeth Pereira
• Maida Pereira, M.D
• Yohanka Pereira, ARNP
• Viviana Perello
• Perennial Healthcare Associates PA

• Optician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.