Organization Active NPI

Richard Marrotte, OD,PA

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1477804045
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 2246 Issued in FL
Legal business name
RICHARD MARROTTE, OD,PA
Practice address
430 3Rd Ave
Apt 332
St. Petersburg, FL 33701
Phone
(561) 702-0684
NPI assigned
Sep 24, 2012
Last updated
Mar 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Dr. Richard Marrotte, O.D.NPI 1184612780
Title
Optometrist
Phone
(561) 702-0684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 2246 FL Primary

Addresses

Primary practice location

430 3Rd Ave
Apt 332
St. Petersburg, FL 33701

Mailing address

430 3Rd Ave S
Apt 332
St Petersburg, FL 33701-4144
Phone (561) 702-0684

Other identifiers 1

IdentifierTypeStateIssuer
084132300MedicaidFL

National Provider Directory

National Provider Directory

Locations

8220 Glades Rd
Boca Raton, FL 33434
Phone (561) 487-3340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1477804045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 3RD AVE S",
            "address_2": "APT 332",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014144",
            "telephone_number": "561-702-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 3RD AVE",
            "address_2": "APT 332",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "561-702-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MARROTTE, OD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "MARROTTE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "561-702-0684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084132300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.