Individual provider Active NPI

David A Silver, O.D.

  • Optometrist
  • Fort Lauderdale, FL
National Provider Identifier
1174592562
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3455 Issued in FL
Practice address
2466 E Commercial Blvd
Fort Lauderdale, FL 33308-4011
Phone
(954) 492-1177
Fax
(954) 492-0352
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3455 FL Primary

Addresses

Primary practice location

2466 E Commercial Blvd
Fort Lauderdale, FL 33308-4011

Mailing address

2466 E Commercial Blvd
Fort Lauderdale, FL 33308-4011
Phone (954) 492-1177

Other identifiers 1

IdentifierTypeStateIssuer
E5285ZOtherFLMEDICARE ID

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
I20090421000560 FL Practitioner - Optometry 4385791789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weston Laser and Vision Institute, IncGroup PAC ID 9234282161, 5 clinicians

Practice addresses (Care Compare)

2625 Executive Park Dr
Suite 4
Weston, FL 33331-3634
Phone (954) 659-9051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3455FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weston Laser & Vision Institute, Inc CurrentSince Jun 1, 2016 Accepting new patients
Ophthalmology Consultants PA PastSince May 9, 2008 Accepting new patients

Locations

10650 W State Road 84
Ste 100
Davie, FL 33324
Phone (954) 496-9151

4300 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (954) 484-0700

2625 Executive Park Dr
Ste 4
Weston, FL 33331
Phone (954) 484-0742

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1174592562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084011",
            "telephone_number": "954-492-1177",
            "fax_number": "954-492-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084011",
            "telephone_number": "954-492-1177",
            "fax_number": "954-492-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "E5285Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.