Organization Active NPI

Richard a Norman PA

  • Optometrist
  • Davie, FL
National Provider Identifier
1811291578
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1492 Issued in FL
Legal business name
RICHARD A NORMAN PA
Practice address
4671 S University Dr
Davie, FL 33328
Phone
(954) 434-4671
Fax
(954) 434-4556
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Dr. Richard A Norman, O.D.
Title
President
Phone
(954) 434-4671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1492 FL Primary

Addresses

Primary practice location

4671 S University Dr
Davie, FL 33328

Mailing address

4671 S University Dr
Davie, FL 33328-3817
Phone (954) 434-4671

Other identifiers 2

IdentifierTypeStateIssuer
078141000MedicaidFL
19223OtherFLMEDICARE

National Provider Directory

National Provider Directory

Locations

4671 S University Dr
Davie, FL 33328
Phone (954) 434-4671

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1811291578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4671 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283817",
            "telephone_number": "954-434-4671",
            "fax_number": "954-434-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4671 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33328",
            "telephone_number": "954-434-4671",
            "fax_number": "954-434-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A NORMAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-434-4671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078141000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "19223",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.