NPIMap

Organization Active NPI

Bert Misner OD & Associates, Inc

  • Optometrist
  • Palm Bay, FL
National Provider Identifier
1467753152
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC002199 Issued in FL
Legal business name
BERT MISNER OD & ASSOCIATES, INC
Practice address
1040 Malabar Rd SE
Palm Bay, FL 32907-3251
Phone
(321) 984-3494
Fax
(321) 723-2056
NPI assigned
Nov 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Dr. William Albert Misner, OD
Title
President
Phone
(321) 984-3494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC002199 FL Primary

Addresses

Primary practice location

1040 Malabar Rd SE
Palm Bay, FL 32907-3251

Mailing address

1040 Malabar Rd SE
Palm Bay, FL 32907-3251
Phone (321) 984-3494

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1467753152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 MALABAR RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073251",
            "telephone_number": "321-984-3494",
            "fax_number": "321-723-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MALABAR RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073251",
            "telephone_number": "321-984-3494",
            "fax_number": "321-723-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERT MISNER OD & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "MISNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-984-3494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC002199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.