Individual provider Active NPI

Amarella Elizabeth Dalmazzo, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1992859177
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4089 Issued in FL
Practice address
18600 NW 87TH Avenue
Suite # 124
Miami, FL 33015
Phone
(954) 478-1905
Fax
(954) 704-1015
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4089 FL Primary

Addresses

Primary practice location

18600 NW 87TH Avenue
Suite # 124
Miami, FL 33015

Mailing address

14551 SW 33Rd CT
Miramar, FL 33027-3728
Phone (954) 478-1905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081129000030 FL Practitioner - Optometry 4789744335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992859177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14551 SW 33RD CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273728",
            "telephone_number": "954-478-1905",
            "fax_number": "954-704-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 NW 87TH AVENUE",
            "address_2": "SUITE # 124",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "954-478-1905",
            "fax_number": "954-704-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALMAZZO",
        "first_name": "AMARELLA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.