Organization Active NPI

Glades Eye Care Incorporated

  • Ophthalmology Physician
  • Belle Glade, FL
National Provider Identifier
1144729120
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GLADES EYE CARE INCORPORATED
Practice address
309 SE 2ND St
Belle Glade, FL 33430-3509
Phone
(561) 996-5804
Fax
(561) 996-7455
NPI assigned
Feb 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Michael Donald Fliehs, OPTICIAN
Title
Owner
Phone
(561) 996-5804

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X FL
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

309 SE 2ND St
Belle Glade, FL 33430-3509

Mailing address

309 SE 2ND St
Belle Glade, FL 33430-3509
Phone (561) 996-5804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180326002210 FL Part B Supplier - Clinic/Group Practice 5294097564 Receives reassigned benefits from 1 practitioner
Practice locations: Belle Glade, FL

National Provider Directory

National Provider Directory

Locations

309 SE 2nd St
Belle Glade, FL 33430
Phone (561) 996-5804

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1144729120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SE 2ND ST",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303509",
            "telephone_number": "561-996-5804",
            "fax_number": "561-996-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SE 2ND ST",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303509",
            "telephone_number": "561-996-5804",
            "fax_number": "561-996-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADES EYE CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "FLIEHS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-996-5804",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.