Individual provider Active NPI

Willian Rapoport, O.D.

  • Optometrist
  • Hollywood, FL
National Provider Identifier
1710395405
Registry record updated Jul 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1439 Issued in FL
Practice address
837 Spinnaker Dr E
Hollywood, FL 33019-5026
Phone
(305) 308-8530
Fax
(954) 457-3413
NPI assigned
Jul 26, 2014
Last updated
Jul 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1439 FL Primary

Addresses

Primary practice location

837 Spinnaker Dr E
Hollywood, FL 33019-5026

Mailing address

837 Spinnaker Dr E
Hollywood, FL 33019-5026
Phone (305) 308-8530

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

State licenses

LicenseStateTypeSpecialty
OPC1439FLMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406332800000",
    "number": "1710395405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 SPINNAKER DR E",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330195026",
            "telephone_number": "305-308-8530",
            "fax_number": "954-457-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 SPINNAKER DR E",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330195026",
            "telephone_number": "305-308-8530",
            "fax_number": "954-457-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPOPORT",
        "first_name": "WILLIAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; 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.