Organization Active NPI

Lianne M. Pino O.D., P.a.

  • Optometrist
  • Palmetto Bay, FL
National Provider Identifier
1922069095
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3390 Issued in FL
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

Updated by the provider on Mar 24, 2009

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
620934300MedicaidFL

Other names 1

  • Exceptional Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001390 FL Part B Supplier - Clinic/Group Practice 0941293849 Receives reassigned benefits from 1 practitioner
Practice locations: Palmetto Bay, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.