NPIMap

Organization Active NPI

Florida Eye Microsurgical Institute Inc

  • Ophthalmology Physician
  • Boynton Beach, FL
National Provider Identifier
1104971423
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
800020175 Issued in FL
Legal business name
FLORIDA EYE MICROSURGICAL INSTITUTE INC
Practice address
1717 W Woolbright Rd
Boynton Beach, FL 33426-6319
Phone
(561) 737-5500
Fax
(561) 737-7055
NPI assigned
Jan 25, 2007
Last updated
Feb 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Candice B Davis
Title
Chief Revenue Cycle Officer
Phone
(916) 990-7590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 800020175 FL Primary

Addresses

Primary practice location

1717 W Woolbright Rd
Boynton Beach, FL 33426-6319

Mailing address

500 Ross St 154-0455 Box 392985
Pittsburgh, PA 15262-0001
Phone (561) 737-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040909000326 FL Part B Supplier - Clinic/Group Practice 2163498296 Receives reassigned benefits from 15 practitioners
Practice locations: Boynton Beach, FL; Wellington, FL; Port St Lucie, FL; Jupiter, FL; Boca Raton, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1038724Florida Eye Microsurgical Institute Inc1717 Woolbright Rd, Boynton Beach, FL 33426Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Locations

22023 State Road 7
Boca Raton, FL 33428
Phone (561) 451-0655

9868 S State Road 7
Ste 240
Boynton Beach, FL 33472
Phone (561) 737-5500

224 Chimney Corner Ln
Ste 2002
Jupiter, FL 33458
Phone (561) 408-2345

2575 S State Road 7
Wellington, FL 33414
Phone (561) 737-5500

Interoperability endpoints

  • Direct secure messaging: akatz@espfleye.intellechartdirect.net
  • Direct secure messaging: akubal@espfleye.intellechartdirect.net
  • Direct secure messaging: amitchell@espfleye.intellechartdirect.net
  • Direct secure messaging: dnaaman@espfleye.intellechartdirect.net
  • Direct secure messaging: dseamont@espfleye.intellechartdirect.net
  • Direct secure messaging: jlam@espfleye.intellechartdirect.net
  • Direct secure messaging: znahas@espfleye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1104971423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ROSS ST 154-0455 BOX 392985",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152620001",
            "telephone_number": "561-737-5500",
            "fax_number": "561-737-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266319",
            "telephone_number": "561-737-5500",
            "fax_number": "561-737-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA EYE MICROSURGICAL INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF REVENUE CYCLE OFFICER",
        "authorized_official_telephone_number": "916-990-7590"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "800020175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.