Organization Active NPI

Richard Padron OD PA

  • Optometrist
  • Miami, FL
National Provider Identifier
1992980692
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OB 3148 Issued in FL
Legal business name
RICHARD PADRON OD PA
Practice address
2200 SW 16TH St
Suite 204
Miami, FL 33145-2067
Phone
(305) 860-6760
NPI assigned
Jan 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Richard Padron, O.D.
Title
President
Phone
(305) 793-6058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OB 3148 FL Primary

Addresses

Primary practice location

2200 SW 16TH St
Suite 204
Miami, FL 33145-2067

Mailing address

2200 SW 16TH St Ste 204
Miami, FL 33145-2062
Phone (305) 860-6760

Other identifiers 1

IdentifierTypeStateIssuer
620384100MedicaidFL

National Provider Directory

National Provider Directory

Locations

2200 SW 16th St
Ste 204
Miami, FL 33145
Phone (305) 860-6760

NPI Registry JSON

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

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1992980692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW 16TH ST STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452062",
            "telephone_number": "305-860-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SW 16TH ST",
            "address_2": "SUITE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452067",
            "telephone_number": "305-860-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD PADRON OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-01",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "PADRON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-793-6058",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OB 3148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620384100",
            "state": "FL"
        }
    ],
    "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 Sep 21, 2022; 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.