RANDY M MARTINELLI (NPI# 1598821902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598821902 |
Entity Type | Individual |
Full Name | RANDY M MARTINELLI |
Credential | L.D.O. |
Practice Address |
2514 Pga Blvd Palm Beach Gardens FL 33410-2902 |
Mailing Address |
5062 West Atlantic Ave Delray Beach FL 33484-8129 |
Practice Telephone | 5615008884 |
Practice Fax Number | 5615008885 |
Mailing Telephone | 5614988884 |
Mailing Fax Number | 5614987878 |
Enumeration Date | 2006-12-29 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
FL3876 | FL | Eye and Vision Services Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5062 West Atlantic Ave, Delray Beach, FL 334848129 | 5614988884 | 5614987878 |
Street Address |
2514 PGA BLVD |
City | PALM BEACH GARDENS |
State | FL |
Zip Code | 33410-2902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
Find all providers in zip 33410 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932625431 | Eye Expressions, LLC | Technician/Technologist | 7100 Fairway Dr Ste 39, Palm Beach Gardens, FL 33418-4203 | 2017-08-16 |
1740297605 | Joseph Allen Caldwell | Technician/Technologist | 4505 Pga Blvd, Palm Beach Gardens, FL 33418-3967 | 2006-08-02 |
1770862138 | Shafraz Hassan | Technician/Technologist | 7101 Fairway Dr, 1st, Floor, Palm Beach Gardens, FL 33418-3701 | 2011-08-16 |
1942478557 | M & C Optics LLC | Technician/Technologist | 4530 Pga Blvd, Ste 105, Palm Beach Gardens, FL 33418-3912 | 2008-02-16 |
1679798128 | Wendell Slone | Technician/Technologist | 4530 Pga Blvd, Suite #105, Palm Beach Gardens, FL 33418-3912 | 2007-04-17 |
1568549020 | Protech Leaded Eyewear Inc | Technician/Technologist | 3375 Burns Rd, Ste 208, Palm Beach Gardens, FL 33410 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538767405 | Michelle Mattera Starkey | Technician/Technologist | 1633 Taylor Rd # 104, Port Orange, FL 32128-6754 | 2020-10-13 |
1346848249 | Elizabeth Mary Howard | Technician/Technologist | 1633 Taylor Rd Unit 104, Port Orange, FL 32128-6754 | 2020-10-13 |
1992311492 | Conway Optical Company | Technician/Technologist | 3834 Curry Ford Rd, Orlando, FL 32806-2708 | 2020-09-20 |
1689283160 | Magnum Bien Aime | Technician/Technologist | 1860 N Pine Island Rd Ste 105, Plantation, FL 33322-5234 | 2020-07-30 |
1073121430 | Elvira R Diez | Technician/Technologist | 950 Bluewood Ter, Weston, FL 33327-2049 | 2020-07-21 |
1598373219 | Jocelyn Dorfils | Technician/Technologist | 4135 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4809 | 2020-07-20 |
1376161000 | Carla Stocker | Technician/Technologist | 7410 Daetwyler Dr, Orlando, FL 32812-3726 | 2020-07-09 |
1306464292 | Christian Gonzalez | Technician/Technologist | 4135 Dr Martin Luther King Blvd # G16, Fort Myers, FL 33916-4809 | 2020-07-08 |
1245867902 | Cindy Perry Toepfer | Technician/Technologist | 264 Tamiami Trl S, Venice, FL 34285-2419 | 2020-03-24 |
1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
Find all providers with the same taxonomy |
City | PALM BEACH GARDENS |
Zip Code | 33410 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.