Individual provider Active NPI

Audley Leonard Ridley Jr., O.D

  • Optometrist
  • Tamarac, FL
National Provider Identifier
1356260871
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6945 Issued in FL
Practice address
6233 N University Dr
Tamarac, FL 33321-4022
Phone
(954) 721-0000
Fax
(954) 721-6308
NPI assigned
Jul 10, 2026
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6945 FL Primary

Addresses

Primary practice location

6233 N University Dr
Tamarac, FL 33321-4022

Mailing address

15894 SW 52ND St
Miramar, FL 33027-4977
Phone (954) 881-5565

Other practice location 1

2301 N University Dr Ste 110
Pembroke Pines, FL 33024-3617
Phone (954) 721-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15894 SW 52ND St
Miramar, FL 33027-4977

6233 N University Dr
Tamarac, FL 33321-4022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Eye Institute, Inc. CurrentSince Jul 23, 2026 Accepting new patients

Locations

2301 N University Dr
Ste 110
Pembroke Pines, FL 33024
Phone (954) 435-9779

6233 N University Dr
Tamarac, FL 33321
Phone (954) 721-0000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1356260871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15894 SW 52ND ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274977",
            "telephone_number": "954-881-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214022",
            "telephone_number": "954-721-0000",
            "fax_number": "954-721-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 N University Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330243617",
            "country_code": "US",
            "telephone_number": "954-721-0000",
            "fax_number": "954-721-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "AUDLEY",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.