Organization Active NPI

Oculoplastic and Orbital Consultants PA

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1114072360
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
OCULOPLASTIC AND ORBITAL CONSULTANTS PA
Practice address
4060 Pga Blvd Ste 101
Palm Beach Gardens, FL 33410
Phone
(561) 845-6500
Fax
(561) 845-6300
NPI assigned
Jan 25, 2007
Last updated
May 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Kimberly Ridgley
Title
Practice Manager
Phone
(561) 845-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X NU Primary

Addresses

Primary practice location

4060 Pga Blvd Ste 101
Palm Beach Gardens, FL 33410

Mailing address

4060 Pga Blvd Ste 101
Palm Beach Gardens, FL 33410-6570
Phone (561) 845-6500

National Provider Directory

National Provider Directory

Locations

4060 Pga Blvd
Ste 101
Palm Beach Gardens, FL 33410
Phone (561) 408-3427

4461 Medical Center Way
Ste A
West Palm Beach, FL 33407
Phone (561) 845-6500

Practitioners & affiliated clinicians

Practitioners 2

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.

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": "1527033600000",
    "number": "1114072360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 PGA BLVD STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106570",
            "telephone_number": "561-845-6500",
            "fax_number": "561-845-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 PGA BLVD STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-845-6500",
            "fax_number": "561-845-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULOPLASTIC AND ORBITAL CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "RIDGLEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "561-845-6500"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.