Onesimus Devon Warner Sr., LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO7135 Issued in FL

Practice address

1040 Malabar Rd SE
Palm Bay, FL 32907-3251

Phone

(321) 723-2031

Fax

(321) 723-2056

NPI assigned

Dec 8, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1750158713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 MALABAR RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073251",
            "telephone_number": "321-723-2031",
            "fax_number": "321-723-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MALABAR RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073251",
            "telephone_number": "321-723-2031",
            "fax_number": "321-723-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "ONESIMUS",
        "middle_name": "DEVON",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO7135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasia Layne Wallace-Shaw, MD
• Sarilyne Grace Walley
• Jacob Michael Walls, PHARM.D.
• Kendra T Walsh
• Simone Walton, LMSW, DSW
• Timika Marie Washington
• Vanessa Denise Waszkiewicz, LMHC
• Robert S Watine, MD
• Latisha Watkins, LPN
• Carol Ann Watson-Edge, RN

• Optician in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.