Active NPI
Lisa E Nadel OD PA
- Optometrist
- Coconut Creek, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2624
- Legal business name
- LISA E NADEL OD PA
- Practice address
- 6518 N State Road 7
Coconut Creek, FL 33073-3623 - Phone
- (954) 426-4944
- Fax
- (954) 426-3109
- NPI assigned
- Dec 15, 2010
- 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
- Mr. Lisa Nadel
- Title
- Owner
- Phone
- (954) 426-4944
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC2624 | FL | Primary |
Addresses
Primary practice location
6518 N State Road 7
Coconut Creek, FL 33073-3623
Mailing address
6518 N State Road 7
Coconut Creek, FL 33073-3623
Phone (954) 426-4944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B4T9F | Other | FLORIDA BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120417000344 | FL | Part B Supplier - Clinic/Group Practice | 3476672387 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Coconut Creek, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
6562 N State Road 7
Coconut Creek, FL 33073
Phone (954) 426-4944
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Coconut Creek, FL
- NPI 1780716837
-
- Optometrist
- Davie, FL
- NPI 1669781464
-
- Optometrist
- Hollywood, FL
- NPI 1770982704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483574400000",
"number": "1417250374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6518 N STATE ROAD 7",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733623",
"telephone_number": "954-426-4944",
"fax_number": "954-426-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6518 N STATE ROAD 7",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733623",
"telephone_number": "954-426-4944",
"fax_number": "954-426-3109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA E NADEL OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-15",
"last_updated": "2017-01-05",
"status": "A",
"authorized_official_last_name": "NADEL",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-426-4944",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "B4T9F",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.