Active NPI
Gerald Allen Mayer, OD
- Optometrist
- Lauderhill, FL
National Provider Identifier
1184658270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 001102
- Practice address
- 7187 W Oakland PK Blvd
Lauderhill, FL 33313-1050 - Phone
- (954) 578-9599
- Fax
- (954) 578-9464
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 001102 | FL | Primary |
Addresses
Primary practice location
7187 W Oakland PK Blvd
Lauderhill, FL 33313-1050
Mailing address
7187 W Oakland PK Blvd
Lauderhill, FL 33313-1050
Phone (954) 578-9599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084483700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 001102 | FL | MD | Optometrist |
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": "1334620800000",
"number": "1184658270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7187 W OAKLAND PK BLVD",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333131050",
"telephone_number": "954-578-9599",
"fax_number": "954-578-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7187 W OAKLAND PK BLVD",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333131050",
"telephone_number": "954-578-9599",
"fax_number": "954-578-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "GERALD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 001102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084483700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.