Active NPI
Eye Surgery Associates LLC
- Specialist
- Pembroke Pines, FL
National Provider Identifier
1396942744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- EYE SURGERY ASSOCIATES LLC
- Practice address
- 603 N Flamingo Rd
Suite 250
Pembroke Pines, FL 33028-1023 - Phone
- (954) 925-2740
- Fax
- (954) 927-1941
- NPI assigned
- Jun 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George L Neal
- Title
- President
- Phone
- (469) 214-0144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
603 N Flamingo Rd
Suite 250
Pembroke Pines, FL 33028-1023
Mailing address
300 S Park Rd Ste 300
Hollywood, FL 33021-8353
Phone (954) 925-2740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
1200 SW 145th Ave
Ste 250
Pembroke Pines, FL 33027
Phone (954) 431-2777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Boynton Beach, FL
- NPI 1851519318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669766400000",
"number": "1396942744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S PARK RD STE 300",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218353",
"telephone_number": "954-925-2740",
"fax_number": "954-927-1941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 N FLAMINGO RD",
"address_2": "SUITE 250",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281023",
"telephone_number": "954-925-2740",
"fax_number": "954-927-1941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE SURGERY ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-29",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A",
"authorized_official_last_name": "NEAL",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-214-0144"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.