Active NPI
Nicole Cremata OD PA
- Optometrist
- Key West, FL
National Provider Identifier
1770856239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- NICOLE CREMATA OD PA
- Practice address
- 3202 N Roosevelt Blvd
Key West, FL 33040-4114 - Phone
- (305) 296-5020
- NPI assigned
- Feb 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nichole G Cremata
- Title
- Owner
- Phone
- (305) 296-5020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3202 N Roosevelt Blvd
Key West, FL 33040-4114
Mailing address
3202 N Roosevelt Blvd
Key West, FL 33040-4114
Phone (305) 296-5020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3202 N Roosevelt Blvd
Key West, FL 33040
Phone (305) 292-4212
5800 Overseas Hwy
Ste 43
Marathon, FL 33050
Phone (305) 743-5533
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Marathon, FL
- NPI 1598213480
-
- Optometrist
- Marathon, FL
- NPI 1487726402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329177600000",
"number": "1770856239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 N ROOSEVELT BLVD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404114",
"telephone_number": "305-296-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 N ROOSEVELT BLVD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404114",
"telephone_number": "305-296-5020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE CREMATA OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-14",
"last_updated": "2012-02-14",
"status": "A",
"authorized_official_last_name": "CREMATA",
"authorized_official_first_name": "NICHOLE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-296-5020"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.