Individual provider Active NPI

Tamara Lee Maule, O.D.

  • Corneal and Contact Management Optometrist
  • Boca Raton, FL
National Provider Identifier
1063409019
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC2450 Issued in FL
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

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OPC2450OtherFLFLORIDA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120921000223 FL Practitioner - Optometry 1254589351 Reassigns benefits to 1 organization

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
Tamara L. Maule, O.D., P.a.Group PAC ID 2264680362, 2 clinicians

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

LicenseStateTypeSpecialty
OPC2450FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tamara L. Maule, O.D., P.a. Optometrist CurrentSince Dec 12, 1990 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.