Active NPI
Sherwood Optical Studio
- Optometrist
- Pompano Beach, FL
National Provider Identifier
1164552030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2667
- Legal business name
- SHERWOOD OPTICAL STUDIO
- Practice address
- 1341 S Powerline Rd
Pompano Beach, FL 33069-4313 - Phone
- (954) 972-8900
- Fax
- (954) 971-0289
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ralph Bourjolly, O.D.
- Title
- President
- Phone
- (954) 972-8900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2667 | FL | Primary |
Addresses
Primary practice location
1341 S Powerline Rd
Pompano Beach, FL 33069-4313
Mailing address
1341 S Powerline Rd
Pompano Beach, FL 33069-4313
Phone (954) 972-8900
Other names 1
- sherwood optical
National Provider Directory
National Provider DirectoryLocations
1341 S Powerline Rd
Pompano Beach, FL 33069
Phone (954) 972-8900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Pompano Beach, FL
- NPI 1548390495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322006400000",
"number": "1164552030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 S POWERLINE RD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330694313",
"telephone_number": "954-972-8900",
"fax_number": "954-971-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1341 S POWERLINE RD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330694313",
"telephone_number": "954-972-8900",
"fax_number": "954-971-0289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERWOOD OPTICAL STUDIO",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2011-11-23",
"status": "A",
"authorized_official_last_name": "BOURJOLLY",
"authorized_official_first_name": "RALPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-972-8900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "2667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "sherwood optical",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.