Organization Active NPI

Wayne P Tepper OD PA

  • Optometrist
  • Boca Raton, FL
National Provider Identifier
1154595726
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1118 Issued in FL
Legal business name
WAYNE P TEPPER OD PA
Practice address
333 Plaza Real
Boca Raton, FL 33432-3938
Phone
(561) 392-8383
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Mrs. Kirsten Nugent
Title
Medical Billing
Phone
(561) 392-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1118 FL Primary

Addresses

Primary practice location

333 Plaza Real
Boca Raton, FL 33432-3938

Mailing address

333 Plaza Real
Boca Raton, FL 33432-3938
Phone (561) 392-8383

National Provider Directory

National Provider Directory

Locations

333 Plaza Real
Boca Raton, FL 33432
Phone (561) 392-8383

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1154595726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 PLAZA REAL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323938",
            "telephone_number": "561-392-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 PLAZA REAL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323938",
            "telephone_number": "561-392-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE P TEPPER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "NUGENT",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "MEDICAL BILLING",
        "authorized_official_telephone_number": "561-392-8383",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.