Active NPI
Oculoplastic and Orbital Consultants PA
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Palm Beach Gardens, FL
National Provider Identifier
1114072360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Ophthalmology Physician
- West Palm Beach, FL
- NPI 1316001613
-
- Ophthalmology Physician
- Phoenix, AZ
- NPI 1598758898
Ophthalmic Plastic and Reconstructive Surgery
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.