Nathan Robert Etten, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC-3337 Issued in FL

Practice address

9000 SW 152ND St
Suite 206
Palmetto Bay, FL 33157-1981

Phone

(786) 242-7755

Fax

(786) 242-0070

NPI assigned

Jun 29, 2007

Last updated

Mar 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Physicians and Surgeons of Florida PAGroup PAC ID 7113056292, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.02 of 100Reported as group

Quality

94.6

Promoting interoperability

96

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Physicians and Surgeons of Florida PA

  • Optometrist
  • Fort Myers, FL
  • NPI 1275648495
  Medicare reassignment Care Compare group NPD
• Eye Physicians and Surgeons of Florida PA

  • Optometrist
  • Fort Myers, FL
  • NPI 1982861175
  NPD

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1417154774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST",
            "address_2": "SUITE 206",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571981",
            "telephone_number": "786-242-7755",
            "fax_number": "786-242-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST",
            "address_2": "SUITE 206",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571981",
            "telephone_number": "786-242-7755",
            "fax_number": "786-242-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTEN",
        "first_name": "NATHAN",
        "middle_name": "ROBERT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC-3337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.