Active NPI
Yolanda Bogarin, OD PA
- Optometrist
- Doral, FL
National Provider Identifier
1396911038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC0003088
- Practice address
- 8651 NW 13TH Terrace
Doral, FL 33126-1512 - Phone
- (305) 594-9336
- NPI assigned
- May 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OPC 0003088 | FL | |
| Optometrist | 152W00000X | OPC0003088 | FL | Primary |
Addresses
Primary practice location
8651 NW 13TH Terrace
Doral, FL 33126-1512
Mailing address
1839 NW 139TH Terrace
Pembroke Pines, FL 33028
Phone (305) 323-0376
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 |
|---|---|---|---|---|
| I20250409003028 | FL | Practitioner - Optometry | 7810411030 | Practice locations: Pembroke Pines, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC0003088 | FL | MD | Optometrist |
| OPC 0003088 | FL | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1396911038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 NW 139TH TERRACE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33028",
"telephone_number": "305-323-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8651 NW 13TH TERRACE",
"city": "DORAL",
"state": "FL",
"postal_code": "331261512",
"telephone_number": "305-594-9336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGARIN",
"first_name": "YOLANDA",
"credential": "OD PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-02",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "FL",
"license": "OPC 0003088",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC0003088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.