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

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, OD

Title

President /Optometrist

Phone

(561) 799-2461

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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
• 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.