Shirley Ben-Elazar Leoni, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5854 Issued in FL

Practice address

4322 Hollywood Blvd Ste 120
Hollywood, FL 33021-6639

Phone

(954) 962-7337

Fax

(954) 961-2135

NPI assigned

Aug 28, 2020

Last updated

Jul 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Shirley Ben-Elazar Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• BH Eyes LLC

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  • NPI 1720717937
  Authorized official Same address or phone
• Luxottica of America Inc

  dba For Eyes (Cm208)

  • Eyewear Supplier
  • Hollywood, FL
  • NPI 1609925643
  NPD (past)

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1386257350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8088 S SAVANNAH CIR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283036",
            "telephone_number": "908-456-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 HOLLYWOOD BLVD STE 120",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216639",
            "telephone_number": "954-962-7337",
            "fax_number": "954-961-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONI",
        "first_name": "SHIRLEY",
        "middle_name": "BEN-ELAZAR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC5854",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbleoni@outlook.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4322 Hollywood Blvd Ste 120",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330216639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "BEN-ELAZAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Elizabeth Marie Lessmann, R.T.(R)

• Optometrist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.