Active NPI
Randy M Martinelli, L.D.O.
- Optician
- Palm Beach Gardens, FL
National Provider Identifier
1598821902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- FL3876
- Practice address
- 2514 Pga Blvd
Palm Beach Gardens, FL 33410-2902 - Phone
- (561) 500-8884
- Fax
- (561) 500-8885
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | FL3876 | FL | Primary |
Addresses
Primary practice location
2514 Pga Blvd
Palm Beach Gardens, FL 33410-2902
Mailing address
5062 West Atlantic Ave
Delray Beach, FL 33484-8129
Phone (561) 498-8884
Other practice location 1
5062 West Atlantic Ave
Delray Beach, FL 33484-8129
Phone (561) 498-8884
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FL3876 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benjamin F Anderson Jr OD PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Delray Beach, FL
- NPI 1669786539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1598821902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5062 WEST ATLANTIC AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848129",
"telephone_number": "561-498-8884",
"fax_number": "561-498-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2514 PGA BLVD",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102902",
"telephone_number": "561-500-8884",
"fax_number": "561-500-8885"
}
],
"practiceLocations": [
{
"address_1": "5062 West Atlantic Ave",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334848129",
"country_code": "US",
"telephone_number": "561-498-8884",
"fax_number": "561-498-7878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINELLI",
"first_name": "RANDY",
"middle_name": "M",
"credential": "L.D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "FL3876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.