Active NPI
Lianne M. Pino O.D., P.a.
- Optometrist
- Palmetto Bay, FL
National Provider Identifier
1922069095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3390
- Legal business name
- LIANNE M. PINO O.D., P.A.
- Practice address
- 9000 SW 152ND St
Suite 206
Palmetto Bay, FL 33157-1981 - Phone
- (786) 242-7755
- Fax
- (786) 242-0070
- NPI assigned
- Mar 29, 2006
- 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. Lianne Marie Pino, OD
- Title
- President
- Phone
- (786) 242-7755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3390 | FL | Primary |
Addresses
Primary practice location
9000 SW 152ND St
Suite 206
Palmetto Bay, FL 33157-1981
Mailing address
9000 SW 152ND St
Suite 206
Palmetto Bay, FL 33157-1981
Phone (786) 242-7755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620934300 | Medicaid | FL |
Other names 1
- Exceptional Vision
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9000 SW 152nd St
Ste 205206
Palmetto Bay, FL 33157
Phone (786) 242-7755
9000 SW 152nd St
Ste 206
Palmetto Bay, FL 33157
Phone (786) 242-7755
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Village of Palmetto Bay, FL
- NPI 1003096421
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1275088239
-
- Family Medicine Physician
- Raleigh, NC
- NPI 1255624490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237852800000",
"number": "1922069095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 SW 152ND ST",
"address_2": "SUITE 206",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331571981",
"telephone_number": "786-242-7755",
"fax_number": "786-242-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 SW 152ND ST",
"address_2": "SUITE 206",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331571981",
"telephone_number": "786-242-7755",
"fax_number": "786-242-0070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIANNE M. PINO O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2009-03-24",
"status": "A",
"authorized_official_last_name": "PINO",
"authorized_official_first_name": "LIANNE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-242-7755",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620934300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Exceptional Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palmetto Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.