Dominick a Marino OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2073 Issued in FL

Legal business name

DOMINICK A MARINO OD PA

Practice address

4530 Pga Blvd
Suite105
Palm Beach Gardens, FL 33418-3912

Phone

(561) 622-3671

Fax

(561) 622-5334

NPI assigned

Apr 29, 2009

Last updated

Mar 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dominick A Marino, ODNPI 1407875321

Title

President /Optometrist

Phone

(561) 799-2461

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Dominick Anthony Marino, O.D.

  • Optometrist
  • Palm Beach Gardens, FL
  • NPI 1407875321
  Authorized official Same address or phone
• Wendell Slone, DO

  • Optician
  • Palm Beach Gardens, FL
  • NPI 1679798128
  NPD (past)

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1629212006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 JUNO ISLES BLVD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082422",
            "telephone_number": "561-622-3671",
            "fax_number": "561-622-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 PGA BLVD",
            "address_2": "SUITE105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183912",
            "telephone_number": "561-622-3671",
            "fax_number": "561-622-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINICK A MARINO OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT /OPTOMETRIST",
        "authorized_official_telephone_number": "561-799-2461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doctors Outpatient Surgery Center of Jupiter, LLC (Laser & Surgery Center of the Palm Beaches)
• William Seth Doerr
• Julia Doherty, M.A., BCBA
• Natalie C Domena, PA
• Ketty Dominguez, LMHC
• Donna M Laflamme Inc
• Denis Donovan, DPT
• Brenia W Dorismond
• Kesann Kina Dormand
• Louisiane Dorsainvil

• Optometrist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.