Organization Active NPI

Kubal and Vedula Ophthalmic Associates LLC

  • Specialist
  • Plantation, FL
National Provider Identifier
1225316326
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME107368 Issued in FL
Legal business name
KUBAL AND VEDULA OPHTHALMIC ASSOCIATES LLC
Practice address
1776 N Pine Island Rd Ste 214
Plantation, FL 33322-5223
Phone
(954) 452-9922
NPI assigned
Jul 25, 2011
Last updated
Jun 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Anil Vedula, M.D.NPI 1841527710
Title
President
Phone
(305) 893-9201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME107368 FL Primary

Addresses

Primary practice location

1776 N Pine Island Rd Ste 214
Plantation, FL 33322-5223

Mailing address

1776 N Pine Island Rd Ste 214
Plantation, FL 33322-5223
Phone (954) 452-9922

National Provider Directory

National Provider Directory

Locations

550 Heritage Dr
Ste 110
Jupiter, FL 33458

1190 NW 95th St
Ste 201
Miami, FL 33150
Phone (305) 651-4300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1225316326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 N PINE ISLAND RD STE 214",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225223",
            "telephone_number": "954-452-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 N PINE ISLAND RD STE 214",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225223",
            "telephone_number": "954-452-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUBAL AND VEDULA OPHTHALMIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "VEDULA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-893-9201",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME107368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.