Active NPI
Talisa Rodriguez, DO
- Optician
- Melbourne, FL
National Provider Identifier
1407459852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 7498
- Practice address
- 1215 N Harbor City Blvd
Melbourne, FL 32935-7020 - Phone
- (321) 220-0600
- NPI assigned
- Nov 18, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 7498 | Primary |
Addresses
Primary practice location
1215 N Harbor City Blvd
Melbourne, FL 32935-7020
Mailing address
1215 N Harbor City Blvd
Melbourne, FL 32935-7020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO7498 | Other | FL | PROFESSIONAL LICENSE NUMBER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | optical@empireeyewearfl.com | ||
| Direct Messaging Address | optical@empireeyewearfl.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1407459852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 N HARBOR CITY BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329357020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 N HARBOR CITY BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329357020",
"telephone_number": "321-220-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "TALISA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": "7498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE NUMBER",
"identifier": "DO7498",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "optical@empireeyewearfl.com",
"affiliation": "N",
"address_1": "1215 N Harbor City Blvd",
"city": "Melbourne",
"state": "FL",
"country_code": "US",
"postal_code": "329357020",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "optical@empireeyewearfl.com",
"affiliation": "N",
"address_1": "1215 N Harbor City Blvd",
"city": "Melbourne",
"state": "FL",
"country_code": "US",
"postal_code": "329357020",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.