Individual provider Active NPI

James Normile, O.D.

  • Optometrist
  • Fort Lauderdale, FL
National Provider Identifier
1487697694
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3499 Issued in FL
Practice address
3401 W. Sunrise Blvd
Fort Lauderdale, FL 33311
Phone
(954) 328-0751
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3499 FL Primary

Addresses

Primary practice location

3401 W. Sunrise Blvd
Fort Lauderdale, FL 33311

Mailing address

4597 SW 37TH Ave
Dania Beach, FL 33312-5403
Phone (954) 328-0751

Other identifiers 1

IdentifierTypeStateIssuer
620571200MedicaidFL

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1487697694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4597 SW 37TH AVE",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "333125403",
            "telephone_number": "954-328-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W. SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-328-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMILE",
        "first_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620571200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.