Organization Active NPI

Michelle R Rountree O D P a

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1770703977
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3831 Issued in FL
Legal business name
MICHELLE R ROUNTREE O D P A
Practice address
10800 Pines Blvd
Ste 7
Pembroke Pines, FL 33026
Phone
(954) 885-8488
Fax
(954) 885-4919
NPI assigned
Apr 27, 2007
Last updated
Feb 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Michelle R Rountree, OD
Title
Optometrist Sole Owner
Phone
(954) 885-8488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3831 FL Primary

Addresses

Primary practice location

10800 Pines Blvd
Ste 7
Pembroke Pines, FL 33026

Mailing address

10800 Pines Blvd
Ste 7
Pembroke Pines, FL 33026-5216
Phone (954) 885-8488

Other identifiers 1

IdentifierTypeStateIssuer
AF 740OtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1770703977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 PINES BLVD",
            "address_2": "STE 7",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265216",
            "telephone_number": "954-885-8488",
            "fax_number": "954-885-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PINES BLVD",
            "address_2": "STE 7",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-885-8488",
            "fax_number": "954-885-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE R ROUNTREE O D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "ROUNTREE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST SOLE OWNER",
        "authorized_official_telephone_number": "954-885-8488",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AF 740",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.