Individual provider Active NPI

Deanna Born, O.D.

  • Optometrist
  • Davie, FL
National Provider Identifier
1750697470
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4532 Issued in FL
Practice address
7833 N Southwood Cir
Davie, FL 33328-3833
Phone
(217) 816-4441
NPI assigned
Aug 19, 2010
Last updated
Feb 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4532 FL Primary

Addresses

Primary practice location

7833 N Southwood Cir
Davie, FL 33328-3833

Mailing address

430 S. Dixie Highway
Ste 5
Coral Gables, FL 33146-2223
Phone (217) 816-4441

Other identifiers 1

IdentifierTypeStateIssuer
003173900MedicaidFL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4532FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Sider OD PA Optometrist Past Accepting new patients
Ronda Singh O.D., P.a. Optometrist Past Accepting new patients
The Eyeglass Place Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1750697470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S. DIXIE HIGHWAY",
            "address_2": "STE 5",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462223",
            "telephone_number": "217-816-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7833 N SOUTHWOOD CIR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283833",
            "telephone_number": "217-816-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORN",
        "first_name": "DEANNA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003173900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.