Individual provider Active NPI

Deborah Lynn Haas-Leffler, O.D.

  • Optometrist
  • Palm Beach Gardens, FL
National Provider Identifier
1073658654
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1996 Issued in FL
Practice address
9810 Alternate A1A
Suite 107
Palm Beach Gardens, FL 33410
Phone
(561) 694-2239
Fax
(531) 694-2174
NPI assigned
Feb 21, 2007
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1996 FL Primary

Addresses

Primary practice location

9810 Alternate A1A
Suite 107
Palm Beach Gardens, FL 33410

Mailing address

9810 Alternate A1A
Suite 107
Palm Beach Gardens, FL 33410
Phone (561) 694-2239

Other identifiers 1

IdentifierTypeStateIssuer
620188100MedicaidFL

Other names 1

  • Deborah Haas Other name

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
I20110510000204 FL Practitioner - Optometry 0143406116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

Practice addresses (Care Compare)

9810 Alternate
A1A Suite 107
Palm Beach Gardens, FL 33410-4932
Phone (561) 694-2239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jan 15, 2018 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jan 15, 2018 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients

Locations

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

11100 SW 93rd Court Rd
Ste 15
Ocala, FL 34481
Phone (352) 291-2000

3101 SW College Rd
Ocala, FL 34474
Phone (352) 237-3768

9810 Alternate A1A
Ste 107
Palm Beach Gardens, FL 33410
Phone (561) 694-2239

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1073658654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 ALTERNATE A1A",
            "address_2": "SUITE 107",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-694-2239",
            "fax_number": "531-694-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 ALTERNATE A1A",
            "address_2": "SUITE 107",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-694-2239",
            "fax_number": "531-694-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS-LEFFLER",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620188100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "HAAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.