Bedotto Wallace Clewner & Kelly, MD, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BEDOTTO WALLACE CLEWNER & KELLY, MD, PA

Practice address

1701 N Federal Hwy
Boca Raton, FL 33432-1909

Phone

(561) 395-5666

Fax

(561) 368-0883

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Lawrence Clewner, MDNPI 1093704694

Title

President

Phone

(561) 395-5666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: posathanugrah@ckec.intellechartdirect.net
• Direct secure messaging: wkelly@ckec.intellechartdirect.net
• Direct secure messaging: lclewner@ckec.intellechartdirect.net
• Direct secure messaging: pgarg@ckec.intellechartdirect.net

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Maxwell Clewner, MD

  • Ophthalmology Physician
  • Boca Raton, FL
  • NPI 1093704694
  Medicare reassignment Care Compare group NPD Authorized official
• Pooja Garg, M.D.

  • Ophthalmology Physician
  • Coconut Creek, FL
  • NPI 1932496346
  Medicare reassignment Care Compare group NPD
• William John Kelly, M.D.

  • Ophthalmology Physician
  • Boca Raton, FL
  • NPI 1538185426
  Medicare reassignment Care Compare group NPD
• Shailesh K Gupta, MD

  • Retina Specialist (Ophthalmology) Physician
  • Deerfield Beach, FL
  • NPI 1467424382
  Medicare reassignment NPD
• Barry Bruce Myers, MD

  • Ophthalmology Physician
  • Boca Raton, FL
  • NPI 1699884353
  Medicare reassignment NPD
• Pawarissara Osathanugrah

  • Ophthalmology Physician
  • Pflugerville, TX
  • NPI 1679102669

  FL, Multi-Specialty

  Medicare reassignment NPD
• Carmine Bedotto, MD

  • Ophthalmology Physician
  • Boca Raton, FL
  • NPI 1952390650
  NPD (past)
• Patrick E Rubsamen, MD

  • Retina Specialist (Ophthalmology) Physician
  • Fort Lauderdale, FL
  • NPI 1215935382
  NPD (past)
• Wilson King Wallace, MD

  • Ophthalmology Physician
  • Vero Beach, FL
  • NPI 1598754053
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1285654723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321909",
            "telephone_number": "561-395-5666",
            "fax_number": "561-368-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321909",
            "telephone_number": "561-395-5666",
            "fax_number": "561-368-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDOTTO WALLACE CLEWNER & KELLY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "CLEWNER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-395-5666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverley Michelle Becker, COTA/L
• Debra Becker, M.D.
• Hilton Becker, M.D.
• Patricia Becker, LMT
• Rochelle Beckford, COTA
• Carmine Bedotto, MD
• Geraldine Bedoya Ossa
• Gustavo Bedoya, MD
• Bee Heard Speech & Language Therapy LLC
• William Michael Beecham, PH.D.

• Ophthalmology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.