NPIMap

Organization Active NPI

2020 Eyecare Network, Inc.

Doing business as 2020 Eyecare Network

  • Optometrist
  • Fort Lauderdale, FL
National Provider Identifier
1023102902
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1910 Issued in FL
Legal business name
2020 EYECARE NETWORK, INC.
Doing business as
2020 Eyecare Network
Practice address
2900 W Cypress Creek Rd
Suite 4
Fort Lauderdale, FL 33309
Phone
(954) 979-2407
Fax
(954) 979-2407
NPI assigned
Oct 3, 2006
Last updated
Dec 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Mr. Robert C Coppola, O.D.NPI 1780672295
Title
President
Phone
(954) 979-2407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 1910 FL Primary

Addresses

Primary practice location

2900 W Cypress Creek Rd
Suite 4
Fort Lauderdale, FL 33309

Mailing address

2900 W Cypress Creek Rd
Suite 4
Fort Lauderdale, FL 33309-1715
Phone (954) 979-2407

Other identifiers 1

IdentifierTypeStateIssuer
104112800MedicaidFL

Other names 2

  • 2020 Eyecare Network Doing business as
  • South Florida Vision of Palm Beach, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

1205 S Powerline Rd
Pompano Beach, FL 33069
Phone (954) 977-6636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1023102902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD",
            "address_2": "SUITE 4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091715",
            "telephone_number": "954-979-2407",
            "fax_number": "954-979-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD",
            "address_2": "SUITE 4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-979-2407",
            "fax_number": "954-979-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2020 EYECARE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-979-2407",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104112800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2020 Eyecare Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "2020 Eyecare Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Florida Vision of Palm Beach, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.