Active NPI
Michael Holifield OD PA
Doing business as Central Park Vision Center
- Optometrist
- Plantation, FL
National Provider Identifier
1902947690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- FL 3238
- Legal business name
- MICHAEL HOLIFIELD OD PA
- Doing business as
- Central Park Vision Center
- Practice address
- 9711 W Broward Blvd
Plantation, FL 33324-2309 - Phone
- (954) 474-1374
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Holifield, O.D.
- Title
- Optometrist President
- Phone
- (954) 474-1374
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | FL 3238 | FL | Primary |
Addresses
Primary practice location
9711 W Broward Blvd
Plantation, FL 33324-2309
Mailing address
9711 W Broward Blvd
Plantation, FL 33324-2309
Phone (954) 474-1374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620824000 | Medicaid | FL |
Other names 1
- Central Park Vision Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9711 W Broward Blvd
Plantation, FL 33324
Phone (954) 474-1374
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Plantation, FL
- NPI 1679731681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350518400000",
"number": "1902947690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9711 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242309",
"telephone_number": "954-474-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9711 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242309",
"telephone_number": "954-474-1374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL HOLIFIELD OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2012-10-18",
"status": "A",
"authorized_official_last_name": "HOLIFIELD",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OPTOMETRIST PRESIDENT",
"authorized_official_telephone_number": "954-474-1374",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "FL 3238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620824000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Park Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plantation, FL
- Miami Psychology & Human Service Collaborative, Inc (Miami Psychology Group)
- Michael a Abrahams MD PA
- Michael a Flicker DO PA
- Michael a. Morrison M.D, P.a
- Michael D Williams,DDS,PA
- Michael J Delesparra, DC, PA (A Better Way of Life Wellness Institute)
- Michael J. Cohen D.C., P.a. (Nob Hill Family Chiropractic)
- Michael J. Friend, DMD, PA
- Michael Maruri DMD PA (Super Smiles Kids Dental & Orthodontics)
- Michael R. Alexander, M.D. P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.