Active NPI
Corrinne Michelle Minto, D.O
- Optician
- Coral Springs, FL
National Provider Identifier
1801025168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO 5548
- Practice address
- 11312 Wiles Rd
Coral Springs, FL 33076-2113 - Phone
- (954) 510-4777
- Fax
- (954) 510-8777
- NPI assigned
- Jul 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | DO 5548 | FL | Primary |
Addresses
Primary practice location
11312 Wiles Rd
Coral Springs, FL 33076-2113
Mailing address
11312 Wiles Rd
Coral Springs, FL 33076-2113
Phone (954) 510-4777
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO 5548 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Vision Care | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Coral Springs, FL
- NPI 1245541036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1801025168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11312 WILES RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330762113",
"telephone_number": "954-510-4777",
"fax_number": "954-510-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11312 WILES RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330762113",
"telephone_number": "954-510-4777",
"fax_number": "954-510-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINTO",
"first_name": "CORRINNE",
"middle_name": "MICHELLE",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-08",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO 5548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.