Active NPI
Tamara Lee Maule, O.D.
- Corneal and Contact Management Optometrist
- Boca Raton, FL
National Provider Identifier
1063409019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OPC2450
- Practice address
- 8903 Glades Rd
Bay a 1
Boca Raton, FL 33434-4074 - Phone
- (561) 477-3524
- Fax
- (561) 477-3576
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC2450 | FL | |
| Corneal and Contact Management Optometrist | 152WC0802X | OPC2450 | FL | Primary |
Addresses
Primary practice location
8903 Glades Rd
Bay a 1
Boca Raton, FL 33434-4074
Mailing address
8903 Glades Rd
Bay a 1
Boca Raton, FL 33434-4074
Phone (561) 477-3524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC2450 | Other | FL | FLORIDA LICENSE |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8903 Glades Rd
Boca Raton, FL 33434-4074
Phone (561) 477-3524
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC2450 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tamara L. Maule, O.D., P.a. | Optometrist | Current | Accepting new patients |
Locations
8903 Glades Rd
Ste A14
Boca Raton, FL 33434
Phone (561) 221-0450
8903 Glades Rd
Ste A1
Boca Raton, FL 33434
Phone (561) 477-3524
Interoperability endpoints
- tamara.maule@direct.revolutionehr.com
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.
-
- Optometrist
- Boca Raton, FL
- NPI 1710260427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1063409019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8903 GLADES RD",
"address_2": "BAY A 1",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334344074",
"telephone_number": "561-477-3524",
"fax_number": "561-477-3576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8903 GLADES RD",
"address_2": "BAY A 1",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334344074",
"telephone_number": "561-477-3524",
"fax_number": "561-477-3576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAULE",
"first_name": "TAMARA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2450",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "FL",
"license": "OPC2450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "OPC2450",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.