Active NPI
Steven Mark Anhalt, O.D.
- Optometrist
- Cooper City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2160
- Practice address
- 10064 Griffin Rd
Cooper City, FL 33328-3309 - Phone
- (954) 680-9334
- Fax
- (954) 680-9985
- NPI assigned
- Feb 6, 2007
- Last updated
- Sep 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC2160 | FL | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OPC2160 | FL | |
| Sports Vision Optometrist | 152WS0006X | OPC2160 | FL | |
| Occupational Vision Optometrist | 152WX0102X | OPC2160 | FL |
Addresses
Primary practice location
10064 Griffin Rd
Cooper City, FL 33328-3309
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
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
- Southern College of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10064 Griffin Rd
Cooper City, FL 33328-3309
Phone (954) 680-9334
3011 W Yamato Rd
Suite A19
Boca Raton, FL 33434-5353
Phone (561) 995-9600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2160 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Past | Accepting new patients |
Locations
3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600
10064 Griffin Rd
Cooper City, FL 33328
Phone (954) 680-9334
2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213
1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601
2301 Wilton Dr
Ste C1
Wilton Manors, FL 33305
Phone (954) 764-6906
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 5
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.
-
- Corneal and Contact Management Optometrist
- Cooper City, FL
- NPI 1760508212
-
- Optometrist
- Clearwater, FL
- NPI 1730054594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1306985916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10064 GRIFFIN RD",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333283309",
"telephone_number": "954-680-9334",
"fax_number": "954-680-9985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANHALT",
"first_name": "STEVEN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2160",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "FL",
"license": "OPC2160",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "FL",
"license": "OPC2160",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "FL",
"license": "OPC2160",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.