Organization Active NPI

Dr. Maria a. Cordova & Assoc., PA

  • Occupational Vision Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1649317082
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
OPC02957 Issued in FL
Legal business name
DR. MARIA A. CORDOVA & ASSOC., PA
Practice address
11401 Pines Blvd
Suite 352
Pembroke Pines, FL 33026-4117
Phone
(954) 432-1532
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Maria Cordova, ODNPI 1528104718
Title
Owner
Phone
(954) 432-1532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPC2957 FL
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X OPC02957 FL
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X OPC2957 FL
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WX0102X OPC02957 FL Primary

Addresses

Primary practice location

11401 Pines Blvd
Suite 352
Pembroke Pines, FL 33026-4117

Mailing address

11401 Pines Blvd
Suite 352
Pembroke Pines, FL 33026-4117
Phone (954) 432-1532

Other identifiers 1

IdentifierTypeStateIssuer
OPC2957OtherFLOPTOMETRIC LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Cohen's Fashion Optical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11401 Pines Blvd
Ste 352
Pembroke Pines, FL 33026
Phone (954) 432-1532

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1649317082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 PINES BLVD",
            "address_2": "SUITE 352",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264117",
            "telephone_number": "954-432-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 PINES BLVD",
            "address_2": "SUITE 352",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264117",
            "telephone_number": "954-432-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARIA A. CORDOVA & ASSOC., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-432-1532",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2957",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC02957",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "FL",
            "license": "OPC2957",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "FL",
            "license": "OPC02957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LICENSE",
            "identifier": "OPC2957",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.