Individual provider Active NPI

John D Marino, OD

  • Optometrist
  • Pompano Beach, FL
National Provider Identifier
1790871556
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2756 Issued in FL
Practice address
Rand Eye Institute
5 West Sample Road
Pompano Beach, FL 33064-3542
Phone
(954) 782-1700
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2756 FL Primary

Addresses

Primary practice location

Rand Eye Institute
5 West Sample Road
Pompano Beach, FL 33064-3542

Mailing address

Rand Eye Institute
5 West Sample Road
Pompano Beach, FL 33064-3542
Phone (954) 782-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000782 FL Practitioner - Optometry 8224167796 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2756FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
William J Rand Mdpa CurrentSince Mar 26, 1995 Accepting new patients

Locations

5 W Sample Rd
Deerfield Beach, FL 33064
Phone (954) 782-1700

Organizations & group practices 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790871556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RAND EYE INSTITUTE",
            "address_2": "5 WEST SAMPLE ROAD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643542",
            "telephone_number": "954-782-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RAND EYE INSTITUTE",
            "address_2": "5 WEST SAMPLE ROAD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643542",
            "telephone_number": "954-782-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.