Organization Active NPI

Dawn Bearden, OD, PA

Doing business as Visionary Eyecare Associates, PA

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1669509915
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2885 Issued in FL
Legal business name
DAWN BEARDEN, OD, PA
Doing business as
Visionary Eyecare Associates, PA
Practice address
9910 Pines Blvd
Pembroke Pines, FL 33024-6139
Phone
(954) 430-3808
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dawn Bearden, O.D.
Title
President
Phone
(954) 430-3808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2885 FL Primary

Addresses

Primary practice location

9910 Pines Blvd
Pembroke Pines, FL 33024-6139

Mailing address

9910 Pines Blvd
Pembroke Pines, FL 33024-6139
Phone (954) 430-3808

Other identifiers 1

IdentifierTypeStateIssuer
FL2885OtherFLEYEMED NUMBER

Other names 1

  • Visionary Eyecare Associates, PA Doing business as

National Provider Directory

National Provider Directory

Locations

9910 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 430-3808

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669509915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246139",
            "telephone_number": "954-430-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246139",
            "telephone_number": "954-430-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN BEARDEN, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEARDEN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-430-3808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED NUMBER",
            "identifier": "FL2885",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionary Eyecare Associates, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.