Organization Active NPI

Dr Alan Grossman PA

  • Optometrist
  • North Miami Beach, FL
National Provider Identifier
1487794764
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1087 Issued in FL
Legal business name
DR ALAN GROSSMAN PA
Practice address
18557 West Dixie Highway
North Miami Beach, FL 33180
Phone
(305) 466-0777
Fax
(305) 466-0773
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Dr. Alan S Grossman, O.D.
Title
Optometrist
Phone
(305) 466-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1087 FL Primary

Addresses

Primary practice location

18557 West Dixie Highway
North Miami Beach, FL 33180

Mailing address

18557 West Dixie Highway
North Miami Beach, FL 33180
Phone (305) 466-0777

Other identifiers 1

IdentifierTypeStateIssuer
078754000MedicaidFL

National Provider Directory

National Provider Directory

Locations

18557 W Dixie Hwy
Miami, FL 33180
Phone (305) 466-0777

Practitioners & affiliated clinicians

Practitioners 1

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1487794764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18557 WEST DIXIE HIGHWAY",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-466-0777",
            "fax_number": "305-466-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18557 WEST DIXIE HIGHWAY",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-466-0777",
            "fax_number": "305-466-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALAN GROSSMAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "305-466-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078754000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.