Active NPI
Robert H Sherrin, O.D.
- Optometrist
- Plantation, FL
National Provider Identifier
1396729059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC0001779
- Practice address
- 1776 N Pine Island Rd
Suite 124
Plantation, FL 33322-5233 - Phone
- (954) 473-2608
- Fax
- (954) 473-4122
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC0001779 | FL | Primary |
Addresses
Primary practice location
1776 N Pine Island Rd
Suite 124
Plantation, FL 33322-5233
Mailing address
1504 NW 110TH Ter
Coral Springs, FL 33071-6436
Phone (954) 755-2898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084759300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robert.sherrinod.p12@direct.eyefl.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040130000003 | FL | Practitioner - Optometry | 7416850144 | Practice locations: Plantation, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC0001779 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1396729059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 NW 110TH TER",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716436",
"telephone_number": "954-755-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 N PINE ISLAND RD",
"address_2": "SUITE 124",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225233",
"telephone_number": "954-473-2608",
"fax_number": "954-473-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRIN",
"first_name": "ROBERT",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC0001779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084759300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "robert.sherrinod.p12@direct.eyefl.nextgenshare.com",
"affiliation": "N",
"address_1": "1776 N Pine Island Rd",
"address_2": "suite 124",
"city": "Plantation",
"state": "FL",
"country_code": "US",
"postal_code": "333225233",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.