Organization Active NPI

Lawrence Sider OD PA

  • Optometrist
  • Boca Raton, FL
National Provider Identifier
1366545618
Registry record updated Jul 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LAWRENCE SIDER OD PA
Practice address
2200 Glades Rd
Suite 105
Boca Raton, FL 33431-7309
Phone
(561) 226-4920
Fax
(561) 988-9325
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2013

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

Authorized official

Name
Dr. Lawrence Sider, O.D.NPI 1700992203
Title
Owner
Phone
(561) 791-0742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2200 Glades Rd
Suite 105
Boca Raton, FL 33431-7309

Mailing address

2200 Glades Rd
Suite 105
Boca Raton, FL 33431-7309
Phone (561) 226-4920

Other names 1

  • Florida Eye Care & Contact Lens Center Doing business as

National Provider Directory

National Provider Directory

Locations

6000 Glades Rd
Ste 1116
Boca Raton, FL 33431
Phone (561) 367-0900

2001 N Federal Hwy
Unit 120
Pompano Beach, FL 33062
Phone (954) 785-2606

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372896000000",
    "number": "1366545618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GLADES RD",
            "address_2": "SUITE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317309",
            "telephone_number": "561-226-4920",
            "fax_number": "561-988-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GLADES RD",
            "address_2": "SUITE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317309",
            "telephone_number": "561-226-4920",
            "fax_number": "561-988-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE SIDER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2013-07-04",
        "status": "A",
        "authorized_official_last_name": "SIDER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-791-0742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Eye Care & Contact Lens Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2013; 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.