Organization Active NPI

Marc S.Flesher O.D. P.a.

Doing business as Eye-Site

  • Eyewear Supplier
  • Boynton Beach, FL
National Provider Identifier
1417180282
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPC2274 Issued in FL
Legal business name
MARC S.FLESHER O.D. P.A.
Doing business as
Eye-Site
Practice address
2244 N Congress Ave
Boynton Beach, FL 33426-8604
Phone
(561) 738-0112
Fax
(561) 735-9359
NPI assigned
Aug 27, 2009
Last updated
Oct 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Dr. Marc S. Flesher, O.D.
Title
Owner/President
Phone
(561) 738-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPC2274 FL Primary

Addresses

Primary practice location

2244 N Congress Ave
Boynton Beach, FL 33426-8604

Mailing address

2244 N Congress Ave
Boynton Beach, FL 33426-8604
Phone (561) 738-0112

Other identifiers 1

IdentifierTypeStateIssuer
086897300MedicaidFL

Other names 1

  • Eye-Site Doing business as

National Provider Directory

National Provider Directory

Locations

2244 N Congress Ave
Boynton Beach, FL 33426
Phone (561) 385-7349

Practitioners & affiliated clinicians

Practitioners 2

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": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1417180282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 N CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268604",
            "telephone_number": "561-738-0112",
            "fax_number": "561-735-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 N CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268604",
            "telephone_number": "561-738-0112",
            "fax_number": "561-735-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC S.FLESHER O.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "FLESHER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "561-738-0112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC2274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086897300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye-Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.