Organization Active NPI

Flamingo Falls Eye Care

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1154478535
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1825 Issued in FL
Legal business name
FLAMINGO FALLS EYE CARE
Practice address
1770 NW 122ND Ter
Pembroke Pines, FL 33026-1967
Phone
(954) 433-1490
Fax
(954) 433-0994
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Mrs. Robin Baratz
Title
MGR
Phone
(954) 433-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPC 1825 FL Primary

Addresses

Primary practice location

1770 NW 122ND Ter
Pembroke Pines, FL 33026-1967

Mailing address

1770 NW 122ND Ter
Pembroke Pines, FL 33026-1967
Phone (954) 433-1490

Other identifiers 2

IdentifierTypeStateIssuer
1104811736OtherFLDR. WENZEL NPI
1821084179OtherFLDR. DAVIS NPI

National Provider Directory

National Provider Directory

Locations

1770 NW 122nd Ter
Pembroke Pines, FL 33026
Phone (954) 431-1818

Practitioners & affiliated clinicians

Practitioners 5

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1154478535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 NW 122ND TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261967",
            "telephone_number": "954-433-1490",
            "fax_number": "954-433-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 NW 122ND TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261967",
            "telephone_number": "954-433-1490",
            "fax_number": "954-433-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAMINGO FALLS EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "BARATZ",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "954-433-1490",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. WENZEL NPI",
            "identifier": "1104811736",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. DAVIS NPI",
            "identifier": "1821084179",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.