Individual provider Active NPI

Alissa Papan, OD

  • Optometrist
  • Plantation, FL
National Provider Identifier
1255011623
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6308 Issued in FL
Practice address
8128 W Broward Blvd
Plantation, FL 33324-2012
Phone
(954) 475-1611
Fax
(954) 475-7704
NPI assigned
Jul 20, 2023
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6308 FL Primary

Addresses

Primary practice location

8128 W Broward Blvd
Plantation, FL 33324-2012

Mailing address

7691 Simms St
Hollywood, FL 33024-2643
Phone (754) 246-2741

Other practice location 1

800 E Broward Blvd Ste 105
Fort Lauderdale, FL 33301-2020
Phone (954) 764-6962

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
I20250825002247 FL Practitioner - Optometry 4880194760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern College of Osteo Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steve F. Atlas, O.D., P.a.Group PAC ID 2668648049, 2 clinicians

Practice addresses (Care Compare)

8128 W Broward Blvd
Plantation, FL 33324-2012
Phone (954) 475-1611

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steve F. Atlas, O.D., P.a. Optometrist CurrentSince Aug 1, 2025 Accepting new patients
America's Best Contacts and Eyeglasses PastSince Jul 1, 2023 Accepting new patients
Vision-Quest, Inc. Past Accepting new patients

Locations

8128 W Broward Blvd
Plantation, FL 33324
Phone (954) 475-1611

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1255011623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7691 SIMMS ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242643",
            "telephone_number": "754-246-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8128 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242012",
            "telephone_number": "954-475-1611",
            "fax_number": "954-475-7704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Broward Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333012020",
            "country_code": "US",
            "telephone_number": "954-764-6962",
            "fax_number": "754-206-4896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPAN",
        "first_name": "ALISSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.