Davie Blvd. Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1180 Issued in FL

Legal business name

DAVIE BLVD. VISION CENTER

Practice address

3252 Davie Blvd
Ft Lauderdale, FL 33312-2766

Phone

(954) 587-2020

Fax

(954) 587-6563

NPI assigned

Dec 30, 2008

Last updated

Dec 30, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

STEPHEN ROTHSTEIN, ODAs reported in NPPES

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

Authorized official

Name

Sharon Clifton

Title

Insurance Administration

Phone

(850) 339-5794

Specialties & licenses 4

Addresses

Other identifiers 1

Part of

Stephen B Rothsteinod

Locations

Practitioners 1

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.

• Eric L. Brodsky, O.D.

  • Optometrist
  • Ocala, FL
  • NPI 1174511786
  NPD (past)

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1144466848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 DAVIE BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122766",
            "telephone_number": "954-587-2020",
            "fax_number": "954-587-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 DAVIE BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122766",
            "telephone_number": "954-587-2020",
            "fax_number": "954-587-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIE BLVD. VISION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHEN ROTHSTEIN, OD",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "INSURANCE ADMINISTRATION",
        "authorized_official_telephone_number": "850-339-5794"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1180",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC1180",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC1180",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621119401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas W David, D.O.
• Andrea V Davidovich
• Candice Danielle Davids
• Sasha M Davidson, M.D.
• Suzanne Davidson
• Davie Family Dentistry, LLC
• Maria Cristina Davila, MD
• Maylin Davila, FNP-BC
• Davin R. Barbanell DC PA
• Alexis Davis-Farr

• Optometrist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.