NPIMap

Organization Active NPI

Diana Cajamarca OD PA

  • Low Vision Rehabilitation Optometrist
  • Boynton Beach, FL
National Provider Identifier
1437109162
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
OP0003574 Issued in FL
Legal business name
DIANA CAJAMARCA OD PA
Practice address
1000 N Congress Ave
Suite 150
Boynton Beach, FL 33426-3338
Phone
(561) 734-2172
Fax
(561) 734-2847
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Diana Cajamarca, O.D.NPI 1790993939
Title
Optometrist/Director
Phone
(561) 445-9979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X OP0003574 FL Primary

Addresses

Primary practice location

1000 N Congress Ave
Suite 150
Boynton Beach, FL 33426-3338

Mailing address

3050 Norwood PL
N-110
Boca Raton, FL 33431-6524
Phone (561) 445-9979

Other identifiers 1

IdentifierTypeStateIssuer
621097000MedicaidFL

Other names 1

  • New Vision Doing business as

National Provider Directory

National Provider Directory

Locations

1000 N Congress Ave
Ste 150
Boynton Beach, FL 33426
Phone (561) 734-2172

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1437109162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 NORWOOD PL",
            "address_2": "N-110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316524",
            "telephone_number": "561-445-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N CONGRESS AVE",
            "address_2": "SUITE 150",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263338",
            "telephone_number": "561-734-2172",
            "fax_number": "561-734-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA CAJAMARCA OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "CAJAMARCA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OPTOMETRIST/DIRECTOR",
        "authorized_official_telephone_number": "561-445-9979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "FL",
            "license": "OP0003574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621097000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.