Philip R Sidran, OD, PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OPC 804 Issued in FL

Legal business name

PHILIP R SIDRAN, OD, PA

Practice address

7971 SW 122ND St
Miami, FL 33156-5228

Phone

(305) 252-7979

Fax

(305) 235-0201

NPI assigned

Oct 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Philip R Sidran, ODNPI 1992766208

Title

President Owner Optometrist

Phone

(305) 252-7979

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Ross Sidran, O.D.

  • Optometrist
  • Miami, FL
  • NPI 1992766208
  Authorized official Same address or phone
• Christina Berry Green, OD

  • Optometrist
  • Denver, CO
  • NPI 1467587907
  NPD (past)

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1881847242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7971 SW 122ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565228",
            "telephone_number": "305-252-7979",
            "fax_number": "305-235-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7971 SW 122ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565228",
            "telephone_number": "305-252-7979",
            "fax_number": "305-235-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP R SIDRAN, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "SIDRAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT  OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "305-252-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC 804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084036000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominica Phifer
• Gemma Elizabeth Philage
• Philip George MD, PA
• Philip Margolesky (Cohen's Fashion Optical)
• Philip R Sidran, OD, PA
• Philip Rodriguez MD PA
• Stephane Philippe-Ratway, MM.S.,CCC-SLP
• Patricia Philippe
• Gabriella Philipson, PHARMD
• Doriste Philistin

• Eyewear Supplier in Miami, FL
• Providers in Miami, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.