Active NPI
Lisa B. Galluzzo, O.D.
- Optometrist
- Plantation, FL
National Provider Identifier
1255333902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP0002697
- Practice address
- 850 S. Pine Island Rd
Ste A100
Plantation, FL 33324 - Phone
- (954) 741-5555
- Fax
- (954) 741-6298
- NPI assigned
- Aug 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP0002697 | FL | Primary |
Addresses
Primary practice location
850 S. Pine Island Rd
Ste A100
Plantation, FL 33324
Mailing address
P.O. Box 39209
Ft. Lauderdale, FL 33339
Phone (954) 851-9966
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650560968 | Other | FL | CIGNA |
| 650560968 | Other | FL | HUMANA |
| 650560968 | Other | FL | UNITED |
| 620071100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lisa.galluzzood.p4@direct.eyefl.nextgenshare.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
850 S Pine Island Rd
Suite A100
Plantation, FL 33324-3118
Phone (954) 741-5555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP0002697 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Lauderdale Eye Institute | Past | Accepting new patients |
Interoperability endpoints
- lisa.galluzzood.p4@direct.eyefl.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Ophthalmology Physician
- Plantation, FL
- NPI 1770763799
-
- Ophthalmology Physician
- Plantation, FL
- NPI 1558475400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1255333902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 39209",
"city": "FT. LAUDERDALE",
"state": "FL",
"postal_code": "33339",
"telephone_number": "954-851-9966",
"fax_number": "954-318-7360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S. PINE ISLAND RD",
"address_2": "STE A100",
"city": "PLANTATION",
"state": "FL",
"postal_code": "33324",
"telephone_number": "954-741-5555",
"fax_number": "954-741-6298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLUZZO",
"first_name": "LISA",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OP0002697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "650560968",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "650560968",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "650560968",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620071100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lisa.galluzzood.p4@direct.eyefl.nextgenshare.com",
"affiliation": "N",
"address_1": "850 S. Pine Island Rd",
"address_2": "Ste A100",
"city": "Plantation",
"state": "FL",
"country_code": "US",
"postal_code": "33324",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.