Individual provider Active NPI

Samuel Homra

  • Ophthalmology Physician
  • Plantation, FL
National Provider Identifier
1003319062
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME166466 Issued in FL
Practice address
1776 N Pine Island Rd Ste 214
Plantation, FL 33322-5223
Phone
(954) 452-9922
Fax
(954) 452-7574
NPI assigned
Mar 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X ME166466 FL Primary

Addresses

Primary practice location

1776 N Pine Island Rd Ste 214
Plantation, FL 33322-5223

Mailing address

1776 N Pine Island Rd Ste 214
Plantation, FL 33322-5223
Phone (954) 452-9922

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710002052 FL Practitioner - Ophthalmology 7517389489 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Louisville School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aran Eye Associates PAGroup PAC ID 4486615770, 32 clinicians
Levenson Eye Associates IncGroup PAC ID 4082764089, 9 clinicians

Practice addresses (Care Compare)

1097 SW Lejuene Rd
Coral Gables, FL 33134-2639
Phone 3054422020147

751 Oak St
Suite 200
Jacksonville, FL 32204-3361
Phone (904) 366-3781

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME166466FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aran Eye Associates PA Multi-Specialty Current Accepting new patients
Aran Eye Associates PA CurrentSince Mar 1, 2025 Accepting new patients
Levenson Eye Associates, Inc. Multi-Specialty CurrentSince Feb 21, 2025 Accepting new patients
Aran Eye Associates PA CurrentSince Mar 1, 2025 Accepting new patients
Retina Macula Specialists of Miami LLC Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients

Locations

2540 NE 9th St
Ft Lauderdale, FL 33304
Phone (954) 537-4000

751 Oak St
Jacksonville, FL 32204
Phone (904) 318-8342

751 Oak St
Ste 200
Jacksonville, FL 32204
Phone (904) 366-3781

2801 NE 213th St
Ste 1006
Miami, FL 33180
Phone (305) 945-7433

351 NW 42nd Ave
Ste 501
Miami, FL 33126
Phone (305) 631-8300

7600 Corporate Center Dr
Miami, FL 33126

184 NE 168th St
North Miami Beach, FL 33162
Phone (305) 655-0411

1776 N Pine Island Rd
Ste 214
Plantation, FL 33322
Phone 9544529922208

120 A1A N
Ste 102
Ponte Vedra Beach, FL 32082

14201 W Sunrise Blvd
#101101
Sunrise, FL 33323
Phone (954) 838-1382

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL HMO C-SNP
  • FL HMO D-SNP
  • FL PPO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • FL HMO

Interoperability endpoints

  • Direct secure messaging: anil.vedula.d1.p1@direct.araneyeassociates.nextgenshare.com
  • Direct secure messaging: samuel.homra.p1@direct.araneyeassociates.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1003319062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 N PINE ISLAND RD STE 214",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225223",
            "telephone_number": "954-452-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 N PINE ISLAND RD STE 214",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225223",
            "telephone_number": "954-452-9922",
            "fax_number": "954-452-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMRA",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-15",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME166466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.