Individual provider Active NPI

Pamela Leigh Ebmeier, O.D.

  • Optometrist
  • Fort Lauderdale, FL
National Provider Identifier
1235107103
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2585 Issued in FL
Practice address
2641 E Oakland Park Blvd
#3
Fort Lauderdale, FL 33306-1665
Phone
(954) 563-2211
Fax
(954) 563-3919
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2585 FL Primary

Addresses

Primary practice location

2641 E Oakland Park Blvd
#3
Fort Lauderdale, FL 33306-1665

Mailing address

2641 E Oakland Park Blvd
#3
Fort Lauderdale, FL 33306-1665
Phone (954) 563-2211

Other identifiers 1

IdentifierTypeStateIssuer
620082600MedicaidFL

Other names 1

  • Dr. Pamela Ebmeier Montmeny Other name

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
I20120427000354 FL Practitioner - Optometry 9830200641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2641 E Oakland Park Blvd
Suite 3
Ft Lauderdale, FL 33306-1665
Phone (954) 563-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2585FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela Ebmeier Montmeny O D P a Optometrist CurrentSince Oct 24, 2000 Accepting new patients
Steven M. Newman, O.D., P.a. Optometrist Past Accepting new patients

Locations

2641 E Oakland Park Blvd
Ste 3
Ft Lauderdale, FL 33306
Phone (954) 424-8801

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1235107103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 E OAKLAND PARK BLVD",
            "address_2": "#3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061665",
            "telephone_number": "954-563-2211",
            "fax_number": "954-563-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 E OAKLAND PARK BLVD",
            "address_2": "#3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061665",
            "telephone_number": "954-563-2211",
            "fax_number": "954-563-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBMEIER",
        "first_name": "PAMELA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620082600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "MONTMENY",
            "middle_name": "EBMEIER",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.