Ophthalmology Associates of South Florida PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

OS8684 Issued in FL

Legal business name

OPHTHALMOLOGY ASSOCIATES OF SOUTH FLORIDA PA

Practice address

3100 Coral Hills Dr
206
Coral Springs, FL 33065-4137

Phone

(954) 575-4711

Fax

(954) 575-4722

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Henry E Glick, DONPI 1518085612

Title

President

Phone

(954) 575-4711

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry E. Glick, DO

  • Ophthalmology Physician
  • Coral Springs, FL
  • NPI 1518085612
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1215987292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CORAL HILLS DR",
            "address_2": "206",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654137",
            "telephone_number": "954-575-4711",
            "fax_number": "954-575-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CORAL HILLS DR",
            "address_2": "206",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654137",
            "telephone_number": "954-575-4711",
            "fax_number": "954-575-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY ASSOCIATES OF SOUTH FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-575-4711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS8684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7890361",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2896366",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onyx Medical Center, Corp
• Onyx Virtual Solutions
• Ooma Enterprises, LLC (Tensegrity Rehab)
• Corie Opdyke, APRN
• Open Magnetic Imaging of Coral Springs LTD
• Oppen Minds Inc
• Optical Eyeworks Inc
• Optimal Healing & Wellness
• Optimize Medical PLLC
• Optimum Diagnostics Inc

• Ophthalmology Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.