Steven Wigdor OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1791 Issued in FL

Legal business name

STEVEN WIGDOR OD PA

Practice address

3650 N Federal Hwy
Lighthouse Point, FL 33064-6649

Phone

(954) 943-6210

Fax

(954) 943-5148

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Wigdor, OD

Title

Optometrist Owner

Phone

(954) 943-6210

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1003952078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 N FEDERAL HWY",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646649",
            "telephone_number": "954-943-6210",
            "fax_number": "954-943-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 N FEDERAL HWY",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646649",
            "telephone_number": "954-943-6210",
            "fax_number": "954-943-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN WIGDOR OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "WIGDOR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "954-943-6210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "Q0243A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "5821020003",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078392700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherine Smith
• South Florida Medical Centers Inc (SFMC Group of Lighthouse Point)
• Stacy Spicer
• St. Lucie Anesthesia Associates LLC
• Paige Sterling
• Brittany Strowbridge
• Gabriela Swanson, DNP, CRNA
• Teresa a. Focaracci, Arnp, PA (none)
• Mohan Thirumala, M.D.
• Thomas Spiegel DDS PA

• Optometrist in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.