Terry L Boeckel OD Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TERRY L BOECKEL OD INC

Doing business as

Terry L Boeckel OD Inc

Practice address

12890 Pines Blvd
Pembroke Pines, FL 33027-1708

Phone

(954) 443-4699

NPI assigned

Apr 26, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Terry BoeckelNPI 1750311627

Title

President

Phone

(305) 785-2986

Specialties & licenses 1

Addresses

Other names 1

• Terry L Boeckel OD Inc Doing business as

Practitioners 1

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

• Terry L. Boeckel, OD

  • Optometrist
  • Pompano Beach, FL
  • NPI 1750311627
  NPD (past) Authorized official

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1396433462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 MANGO ISLE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151327",
            "telephone_number": "305-785-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12890 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271708",
            "telephone_number": "954-443-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY L BOECKEL OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "BOECKEL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-785-2986",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terry L Boeckel OD Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alfredo E Tendler, DMD, MS
• Tendra Home Health , Inc.
• Tendra Home Health, Inc.
• Lesley Olivia Tenn, D.M.D
• Jacqueline Terra-Goncalves
• The Butterfly Affect Therapy Services, Inc
• The Canaan Center LLC
• The Daily Promises, Inc
• The Diabetic Place LLC
• The DME Boutique LLC

• Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.