Individual provider Active NPI

Marissa Anandi Imrit, OD

  • Optometrist
  • Plantation, FL
National Provider Identifier
1891412847
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC006187 Issued in FL
Practice address
157 NW 136TH Ave
Plantation, FL 33325-2624
Phone
(954) 851-9944
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC006187 FL Primary

Addresses

Primary practice location

157 NW 136TH Ave
Plantation, FL 33325-2624

Mailing address

3823 Woodfield Dr
Coconut Creek, FL 33073-2236

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
I20231002001258 FL Practitioner - Optometry 5991159402 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC006187FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye C Optometry, Inc. Optometrist CurrentSince Dec 22, 2024 Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Sep 1, 2023 Accepting new patients

Locations

20449 State Road 7
Ste A4
Boca Raton, FL 33498
Phone (561) 487-2777

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

157 NW 136th Ave
Plantation, FL 33325
Phone (954) 851-9944

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1891412847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 WOODFIELD DR",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 NW 136TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252624",
            "telephone_number": "954-851-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMRIT",
        "first_name": "MARISSA",
        "middle_name": "ANANDI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC006187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.