Active NPI
Richard Padron OD PA
- Optometrist
- Miami, FL
National Provider Identifier
1992980692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OB 3148
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620384100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.