Individual provider Active NPI

Ashlyn Elizabeth Reiser, MD

  • Ophthalmology Physician
  • Boynton Beach, FL
National Provider Identifier
1063031433
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME169010 Issued in FL
Practice address
11195 S Jog Rd Ste 2
Boynton Beach, FL 33437-1830
Phone
(561) 752-0075
Fax
(561) 536-5680
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME169010 FL Primary

Addresses

Primary practice location

11195 S Jog Rd Ste 2
Boynton Beach, FL 33437-1830

Mailing address

11195 S Jog Rd Ste 2
Boynton Beach, FL 33437-1830
Phone (561) 752-0075

Other practice location 1

6894 Lake Worth Rd Ste 105
Lake Worth, FL 33467-2964
Phone (561) 439-2600

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
I20240814003514 FL Practitioner - Ophthalmology 5799103800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Eye and Plastic Surgery Associates IncGroup PAC ID 9638195787, 8 clinicians

Practice addresses (Care Compare)

11195 S Jog Rd
Suite 1And2
Boynton Beach, FL 33437-1829
Phone (561) 752-0075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Eye & Plastic Surgery Associates Inc Ophthalmology CurrentSince Sep 15, 2024 Accepting new patients

Locations

11195 S Jog Rd
Ste 2
Boynton Beach, FL 33437
Phone (561) 752-0075

11195 S Jog Rd
Ste 1
Boynton Beach, FL 33437

11195 S Jog Rd
Ste 12
Boynton Beach, FL 33437
Phone (561) 752-0075

6894 Lake Worth Rd
Ste 105
Lake Worth, FL 33467
Phone (561) 437-2600

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1063031433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11195 S JOG RD STE 2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371830",
            "telephone_number": "561-752-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11195 S JOG RD STE 2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371830",
            "telephone_number": "561-752-0075",
            "fax_number": "561-536-5680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6894 Lake Worth Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334672964",
            "country_code": "US",
            "telephone_number": "561-439-2600",
            "fax_number": "561-461-5676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISER",
        "first_name": "ASHLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME169010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.