Active NPI
Dimitri Garcon, DO
- Optician
- Hollywood, FL
National Provider Identifier
1730381708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO5239
- Practice address
- 7261 Sheridan St Ste 305
Hollywood, FL 33024-2709 - Phone
- (754) 400-8932
- Fax
- (754) 400-8923
- NPI assigned
- Jun 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | DO5239 | FL | |
| Optician | 156FX1800X | DO5239 | FL | Primary |
Addresses
Primary practice location
7261 Sheridan St Ste 305
Hollywood, FL 33024-2709
Mailing address
7261 Sheridan St Ste 305
Hollywood, FL 33024-2709
Phone (754) 400-8932
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO5239 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Virtual Care, LLC | Current | Accepting new patients | |
| Delcin Health Center | Current | Accepting new patients | |
| Josealix Daverman OD PA | Past | Accepting new patients |
Locations
7261 Sheridan St
Ste 305
Hollywood, FL 33024
Phone (754) 400-8932
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Hollywood, FL
- NPI 1255965950
-
- Clinic/Center
- Hollywood, FL
- NPI 1164388450
-
- Optometrist
- Coral Springs, FL
- NPI 1649576059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1730381708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 SHERIDAN ST STE 305",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242709",
"telephone_number": "754-400-8932",
"fax_number": "954-400-8923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7261 SHERIDAN ST STE 305",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242709",
"telephone_number": "754-400-8932",
"fax_number": "754-400-8923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCON",
"first_name": "DIMITRI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": "FL",
"license": "DO5239",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO5239",
"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 Sep 24, 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.