Kubal & Vedula Ophthalmic Associates LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME1077766 Issued in FL

Legal business name

KUBAL & VEDULA OPHTHALMIC ASSOCIATES LLC

Practice address

2200 N Commerce Pkwy
Suite 110
Weston, FL 33326-3258

Phone

(954) 452-9922

Fax

(954) 452-9481

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Anil S Vedula, M.D.

Title

Owner

Phone

(954) 452-9922

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1326585134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY",
            "address_2": "SUITE 110",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263258",
            "telephone_number": "954-452-9922",
            "fax_number": "954-452-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY",
            "address_2": "SUITE 110",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263258",
            "telephone_number": "954-452-9922",
            "fax_number": "954-452-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUBAL & VEDULA OPHTHALMIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "VEDULA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-452-9922",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME1077766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Weston, FL
• Providers in Weston, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.