Individual provider Active NPI

Cheryl Anne Lennard, O.D.

  • Pediatric Optometrist
  • Coral Springs, FL
National Provider Identifier
1063504694
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
OPC3719 Issued in FL
Practice address
2812 N University Dr
Coral Springs, FL 33065-5010
Phone
(954) 752-1551
Fax
(954) 752-3958
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X OPC3719 FL Primary

Addresses

Primary practice location

2812 N University Dr
Coral Springs, FL 33065-5010

Mailing address

1807 NE 59TH St
Fort Lauderdale, FL 33308-2443

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
I20050222000210 FL Practitioner - Optometry 3779536503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2812 N University Dr
Coral Springs, FL 33065-5501
Phone (954) 752-1553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3719FLMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl a. Lennard, PA CurrentSince May 11, 2011 Accepting new patients
Styleyes Enterprises, Inc. Pediatrics Past Accepting new patients
Broward Eye Care LLC PastSince Jun 7, 2010 Accepting new patients

Locations

2812 N University Dr
Coral Springs, FL 33065
Phone (954) 752-1553

Organizations & group practices 3

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063504694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 NE 59TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655010",
            "telephone_number": "954-752-1551",
            "fax_number": "954-752-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNARD",
        "first_name": "CHERYL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC3719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.