NPIMap

Organization Active NPI

Keri M Pomella, OD PA

  • Optometrist
  • Cooper City, FL
National Provider Identifier
1578264990
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KERI M POMELLA, OD PA
Practice address
9950 Griffin Rd
Cooper City, FL 33328-3420
Phone
(954) 434-5500
Fax
(786) 762-2926
NPI assigned
Mar 13, 2023
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
KERI M. POMELLA O.D, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Keri Marie Pomella, OD
Title
Owner
Phone
(954) 434-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

9950 Griffin Rd
Cooper City, FL 33328-3420

Mailing address

9950 Griffin Rd
Cooper City, FL 33328-3420
Phone (954) 434-5500

National Provider Directory

National Provider Directory
Tax ID family
Keri M Pomella OD PA5 organizations share this tax ID, including this one
Part of
Keri M Pomella OD PA

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1578264990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 GRIFFIN RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283420",
            "telephone_number": "954-434-5500",
            "fax_number": "786-762-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 GRIFFIN RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283420",
            "telephone_number": "954-434-5500",
            "fax_number": "786-762-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERI M POMELLA, OD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KERI M. POMELLA O.D, P.A.",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "POMELLA",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-434-5500",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.