Active NPI
Mercedes Padron, DO
- Optician
- Hialeah, FL
National Provider Identifier
1609056753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO 5503
- Practice address
- 2095 W 76TH St
Hialeah, FL 33016-1834 - Phone
- (305) 698-3030
- Fax
- (305) 698-3040
- NPI assigned
- Nov 6, 2007
- Sex
- Female
- 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 | DO 5503 | FL | Primary |
Addresses
Primary practice location
2095 W 76TH St
Hialeah, FL 33016-1834
Mailing address
2095 W 76TH St
Hialeah, FL 33016-1834
Phone (305) 698-3030
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO 5503 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Optical Inc | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1609056753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2095 W 76TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161834",
"telephone_number": "305-698-3030",
"fax_number": "305-698-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 W 76TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161834",
"telephone_number": "305-698-3030",
"fax_number": "305-698-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADRON",
"first_name": "MERCEDES",
"name_prefix": "Mrs.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-06",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO 5503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.