NPIMap

Organization Active NPI

Lo & Rivenson, O.D., P.a.

  • Optometrist
  • Boynton Beach, FL
National Provider Identifier
1194065458
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3762 Issued in FL
Legal business name
LO & RIVENSON, O.D., P.A.
Practice address
8022 Tangelo Dr
Boynton Beach, FL 33436-1602
Phone
(561) 758-1254
NPI assigned
Feb 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Frank Rivenson, OD
Title
President
Phone
(561) 758-1254

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPC3762 FL Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPC3635 FL

Addresses

Primary practice location

8022 Tangelo Dr
Boynton Beach, FL 33436-1602

Mailing address

8022 Tangelo Dr
Boynton Beach, FL 33436-1602
Phone (561) 758-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130424000887 FL Part B Supplier - Clinic/Group Practice 1254577992 Receives reassigned benefits from 4 practitioners
Practice locations: Boca Raton, FL; Margate, FL; Coconut Creek, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1194065458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 TANGELO DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361602",
            "telephone_number": "561-758-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8022 TANGELO DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361602",
            "telephone_number": "561-758-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LO & RIVENSON, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "RIVENSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-758-1254",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3762",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.