NPIMap

Organization Active NPI

South Florida Vision Services, Inc.

  • Optometrist
  • Deerfield Beach, FL
National Provider Identifier
1396409314
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOUTH FLORIDA VISION SERVICES, INC.
Practice address
143 N Powerline Rd
Deerfield Beach, FL 33442-8037
Phone
(954) 429-9600
Fax
(954) 429-9956
NPI assigned
Oct 26, 2021
Last updated
Oct 26, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH FLORIDA VISION SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Robert C. Coppola, ODNPI 1780672295
Title
President
Phone
(954) 917-2337

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

143 N Powerline Rd
Deerfield Beach, FL 33442-8037

Mailing address

2900 W Cypress Creek Rd Ste 4
Ft Lauderdale, FL 33309-1715
Phone (954) 917-2337

Other identifiers 1

IdentifierTypeStateIssuer
621006607MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
S FL Vision Services Inc30 organizations share this tax ID, including this one
Part of
S FL Vision Services Inc

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1396409314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD STE 4",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091715",
            "telephone_number": "954-917-2337",
            "fax_number": "954-979-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N POWERLINE RD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428037",
            "telephone_number": "954-429-9600",
            "fax_number": "954-429-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA VISION SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH FLORIDA VISION SERVICES, INC.",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-917-2337",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621006607",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.