Individual provider Active NPI

Robert Scott Sharek, O.D.

  • Optometrist
  • Lauderdale Lakes, FL
National Provider Identifier
1255445912
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC001798 Issued in FL
Practice address
3001 N State Road 7
Lauderdale Lakes, FL 33313-1913
Phone
(754) 779-7951
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004473A IN
Optometrist 152W00000X OPC001798 FL Primary

Addresses

Primary practice location

3001 N State Road 7
Lauderdale Lakes, FL 33313-1913

Mailing address

1108 NW 114TH Ave
Coral Springs, FL 33071-6309
Phone (954) 856-8998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200324000758 FL Practitioner - Optometry 2365745114 Reassigns benefits to 5 organizations
I20240319001501 IN Practitioner - Optometry 2365745114 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1798FLMDSchool Psychologist
OPC001798FLMDOptometrist

Practice roles (12 of 13)

OrganizationSpecialtyStatusNew patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Jan 11, 2023 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets, PA Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Southeast Eye Institute, PA Optometrist CurrentSince Jan 6, 2023 Accepting new patients
South Florida Vision Services, Inc. Optometrist CurrentSince Nov 10, 2022 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Family First Vision Care, PLLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Mar 14, 2024 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Mar 14, 2024 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jan 11, 2023 Accepting new patients

Locations

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

143 N Powerline Rd
Deerfield Beach, FL 33442
Phone (561) 789-3868

2305 Oleander Blvd
Fort Pierce, FL 34982
Phone (772) 465-6616

2900 W Cypress Creek Rd
Ste 4
Ft Lauderdale, FL 33309
Phone (954) 676-8446

6419 W Newberry Rd
Ste B3
Gainesville, FL 32605
Phone (352) 331-6321

359 Marsh Landing Pkwy
Jacksonville Beach, FL 32250
Phone (904) 280-0011

3761 Tamiami Trl E
Naples, FL 34112
Phone (239) 261-0229

12550 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 430-4030

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

1712 US 27 N
Sebring, FL 33870
Phone (863) 451-3353

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

2224 Cassopolis St
Elkhart, IN 46514
Phone (574) 206-1533

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

3401 Lake Ave
Fort Wayne, IN 46805
Phone (260) 422-6396

506 Wabash Ave
Terre Haute, IN 47807
Phone (812) 232-0073

316 S Hamilton Rd
Gahanna, OH 43230

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

Organizations & group practices 12

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1255445912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 NW 114TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716309",
            "telephone_number": "954-856-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131913",
            "telephone_number": "754-779-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAREK",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004473A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.