Active NPI
Deanna Born, O.D.
- Optometrist
- Davie, FL
National Provider Identifier
1750697470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4532
- Practice address
- 7833 N Southwood Cir
Davie, FL 33328-3833 - Phone
- (217) 816-4441
- NPI assigned
- Aug 19, 2010
- Last updated
- Feb 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003173900 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4532 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Optometrist
- Coral Gables, FL
- NPI 1801196597
-
dba Florida Eye Care & Contact Lens Center
- Optometrist
- Boca Raton, FL
- NPI 1366545618
-
- Optometrist
- Miami, FL
- NPI 1487944203
-
- Customized Equipment (DME)
- Coral Gables, FL
- NPI 1851575278
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.