Ahava Oppenheimer OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3820 Issued in FL

Legal business name

AHAVA OPPENHEIMER OD PA

Practice address

7263 W Atlantic Ave
Delray Beach, FL 33446-1305

Phone

(561) 496-2020

NPI assigned

Jun 10, 2015

Last updated

Jun 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ahava Oppenheimer, O.D.NPI 1689697021

Title

Ceo

Phone

(917) 406-8264

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Ahava Oppenheimer, O.D.

  • Optometrist
  • Delray Beach, FL
  • NPI 1689697021
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1245611730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22360 GUADELOUPE ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334939",
            "telephone_number": "917-406-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7263 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461305",
            "telephone_number": "561-496-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHAVA OPPENHEIMER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIMER",
        "authorized_official_first_name": "AHAVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-406-8264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.