Hollywood Eye Institute, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME97538 Issued in FL

Legal business name

HOLLYWOOD EYE INSTITUTE, PA

Practice address

11011 Sheridan St
Suite 215
Hollywood, FL 33026-1505

Phone

(954) 447-0606

NPI assigned

Jul 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shareen Greenbaum, M.D.NPI 1912039363

Title

Owner

Phone

(954) 447-0606

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Shareen M Greenbaum, MD

  • Ophthalmology Physician
  • Hollywood, FL
  • NPI 1912039363
  Medicare reassignment Care Compare group NPD Authorized official
• Amanda Amberg, OD

  • Optometrist
  • Tamarac, FL
  • NPI 1053904813
  Medicare reassignment Care Compare group NPD
• Brice Chen Hsu

  • Optometrist
  • Davie, FL
  • NPI 1902422793
  Medicare reassignment Care Compare group NPD
• Alejandro Espaillat, MD

  • Ophthalmology Physician
  • Columbia, SC
  • NPI 1891771812

  FL

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1407102247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST",
            "address_2": "SUITE 215",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261505",
            "telephone_number": "954-447-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST",
            "address_2": "SUITE 215",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261505",
            "telephone_number": "954-447-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD EYE INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "SHAREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-447-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME97538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollywood Comprehensive Rehabilitation Facilities Inc
• Hollywood Dental Care
• Hollywood Dermatology and Cosmetic Surgery Specialists PLLC
• Hollywood Diagnostics Center, Inc
• Hollywood Dialysis, LLC
• Hollywood Family Chiropractic Center
• Hollywood Health Center, Inc
• Hollywood Hills Operator, LLC
• Hollywood Hills Rehabilitation Center, LLC
• Hollywood Injury Rehabilitation Center, Inc.

• Ophthalmology Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.

Verify at the official NPI Registry.