Active NPI
Ronald Gitlan, OPTICIAN
- Optician
- Miami, FL
National Provider Identifier
1922101856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1179
- Practice address
- 10954 NW 7TH Ave
Prism Optical
Miami, FL 33168-2108 - Phone
- (305) 754-5894
- Fax
- (305) 754-7352
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1179 | FL | Primary |
Addresses
Primary practice location
10954 NW 7TH Ave
Prism Optical
Miami, FL 33168-2108
Mailing address
10954 NW 7TH Ave
Prism Optical
Miami, FL 33168-2108
Phone (305) 754-5894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1179 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1922101856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10954 NW 7TH AVE",
"address_2": "PRISM OPTICAL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331682108",
"telephone_number": "305-754-5894",
"fax_number": "305-754-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10954 NW 7TH AVE",
"address_2": "PRISM OPTICAL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331682108",
"telephone_number": "305-754-5894",
"fax_number": "305-754-7352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITLAN",
"first_name": "RONALD",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "1179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.