Township Eye Associates of Coconut Creek., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME62339 Issued in FL

Legal business name

TOWNSHIP EYE ASSOCIATES OF COCONUT CREEK., P.A.

Practice address

4400 W Sample Rd
Suite 154
Coconut Creek, FL 33073-3470

Phone

(954) 782-9330

Fax

(954) 977-7401

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joel Nathan, M.D.NPI 1477567311

Title

President

Phone

(954) 782-9330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Nathan, M.D.

  • Ophthalmology Physician
  • Coconut Creek, FL
  • NPI 1477567311
  Medicare reassignment NPD Authorized official
• Wiley Douglas Bunn Jr., MD

  • Gynecologic Oncology Physician
  • Syracuse, NY
  • NPI 1902982473
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1114110426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD",
            "address_2": "SUITE 154",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733470",
            "telephone_number": "954-782-9330",
            "fax_number": "954-977-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD",
            "address_2": "SUITE 154",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733470",
            "telephone_number": "954-782-9330",
            "fax_number": "954-977-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP EYE ASSOCIATES OF COCONUT CREEK., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-782-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME62339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Torres, RN
• Daniel P. Torres, LMFT
• Luis Alejandro Torres, DMD
• Madelin Torres, RBT
• Total Healthcare Services & Wellness LLC
• Alvis Tran, PTA
• Amy Tran
• Erin Trepcyk, LCSW
• Alyssa Trevino, BCBA
• Elissa N Tricoche, RBT

• Ophthalmology Physician in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.