Organization Active NPI

Marlon J. Demeritt, OD, PA.

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1992966345
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3886 Issued in FL
Legal business name
MARLON J. DEMERITT, OD, PA.
Practice address
2250 NW 78TH Ave
104
Pembroke Pines, FL 33024-0908
Phone
(305) 753-9987
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Marlon Demeritt, O.D.
Title
Optometrist
Phone
(305) 753-9987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 3886 FL Primary

Addresses

Primary practice location

2250 NW 78TH Ave
104
Pembroke Pines, FL 33024-0908

Mailing address

2250 NW 78TH Ave
104
Pembroke Pines, FL 33024-0908

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1992966345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NW 78TH AVE",
            "address_2": "104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW 78TH AVE",
            "address_2": "104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240908",
            "telephone_number": "305-753-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLON J. DEMERITT, OD, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DEMERITT",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "305-753-9987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3886",
            "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 Jun 18, 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.