Individual provider Active NPI

Dimitri Garcon, DO

  • Optician
  • Hollywood, FL
National Provider Identifier
1730381708
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO5239 Issued in FL
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

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DO5239FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Virtual Care, LLC CurrentSince Jan 4, 2026 Accepting new patients
Delcin Health Center CurrentSince Sep 27, 2020 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.

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.

Verify at the official NPI Registry.