Organization Active NPI

Dr William Porter OD PA Dba Pearle Vision

  • Eyewear Supplier
  • Pembroke Pines, FL
National Provider Identifier
1942472766
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPC2754 Issued in FL
Legal business name
DR WILLIAM PORTER OD PA DBA PEARLE VISION
Practice address
11005 Pines Blvd
Pembroke Pines, FL 33026
Phone
(954) 443-5488
NPI assigned
Apr 1, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. William Porter, O.D.
Title
Pres
Phone
(954) 443-5488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPC2754 FL Primary

Addresses

Primary practice location

11005 Pines Blvd
Pembroke Pines, FL 33026

Mailing address

11005 Pines Blvd
Pembroke Pines, FL 33026
Phone (954) 443-5488

National Provider Directory

National Provider Directory

Locations

11005 Pines Blvd
Pembroke Pines, FL 33026
Phone (954) 443-5488

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1942472766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-443-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-443-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WILLIAM PORTER OD PA DBA PEARLE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "954-443-5488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC2754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.