Individual provider Active NPI

Gary D. Enker, OD

  • Optometrist
  • Fort Lauderdale, FL
National Provider Identifier
1174558878
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2511 Issued in FL
Practice address
6215 N Federal Hwy
Fort Lauderdale, FL 33308-1903
Phone
(954) 491-7141
Fax
(954) 491-7164
NPI assigned
Jul 11, 2006
Last updated
May 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2511 FL Primary

Addresses

Primary practice location

6215 N Federal Hwy
Fort Lauderdale, FL 33308-1903

Mailing address

6215 N. Federal Hwy
Fort Lauderdale, FL 33308-1903
Phone (954) 491-7141

Other identifiers 1

IdentifierTypeStateIssuer
078892900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110711000215 FL Practitioner - Optometry 0143406454 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2511FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Aug 5, 2024 Accepting new patients
Cva Consulting Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

1100 N Congress Ave
Boynton Beach, FL 33426
Phone (561) 413-6510

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

3180 Northlake Blvd
Palm Beach Gardens, FL 33403
Phone (561) 844-2119

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1174558878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 N. FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081903",
            "telephone_number": "954-491-7141",
            "fax_number": "954-491-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081903",
            "telephone_number": "954-491-7141",
            "fax_number": "954-491-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENKER",
        "first_name": "GARY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078892900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.