Organization Active NPI

Marlyne Alcinor OD PA

  • Optometrist
  • Miramar, FL
National Provider Identifier
1750752937
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4508 Issued in FL
Legal business name
MARLYNE ALCINOR OD PA
Practice address
5004 SW 155TH Ave
Miramar, FL 33027-5633
Phone
(786) 543-2713
NPI assigned
Oct 13, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Marlyne Alcinor, OD
Title
Owner
Phone
(786) 543-2713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4508 FL Primary

Addresses

Primary practice location

5004 SW 155TH Ave
Miramar, FL 33027-5633

Mailing address

5004 SW 155TH Ave
Miramar, FL 33027-5633
Phone (786) 543-2713

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1750752937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 SW 155TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275633",
            "telephone_number": "786-543-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 SW 155TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275633",
            "telephone_number": "786-543-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLYNE ALCINOR OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "ALCINOR",
        "authorized_official_first_name": "MARLYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-543-2713",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.