Active NPI
Michael R. Obregon, OD PA
- Optometrist
- Coral Gables, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- FL 2089
- Legal business name
- MICHAEL R. OBREGON, OD PA
- Practice address
- 2726 Ponce de Leon Blvd
Coral Gables, FL 33134-6005 - Phone
- (305) 444-9600
- Fax
- (305) 444-9636
- NPI assigned
- Feb 9, 2011
- Last updated
- Feb 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael R. Obregon, O.D.
- Title
- President
- Phone
- (305) 527-0098
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | FL 2089 | FL | Primary |
Addresses
Primary practice location
2726 Ponce de Leon Blvd
Coral Gables, FL 33134-6005
Mailing address
2726 Ponce de Leon Blvd
Coral Gables, FL 33134-6005
Phone (305) 444-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078669100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
2726 Ponce de Leon Blvd
Coral Gables, FL 33134
Phone (305) 444-9600
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.
-
- Optometrist
- Coral Gables, FL
- NPI 1578551123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297209600000",
"number": "1598061525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2726 PONCE DE LEON BLVD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331346005",
"telephone_number": "305-444-9600",
"fax_number": "305-444-9636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2726 PONCE DE LEON BLVD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331346005",
"telephone_number": "305-444-9600",
"fax_number": "305-444-9636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL R. OBREGON, OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-09",
"last_updated": "2011-02-09",
"status": "A",
"authorized_official_last_name": "OBREGON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-527-0098",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "FL 2089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078669100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.