Organization Active NPI

Sherwood Optical Studio

  • Optometrist
  • Pompano Beach, FL
National Provider Identifier
1164552030
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2667 Issued in FL
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

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Dr. Ralph Bourjolly, O.D.NPI 1548390495
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.