Organization Active NPI

Reed S Edelman OD PA

  • Optometrist
  • Boca Raton, FL
National Provider Identifier
1427208594
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1828 Issued in FL
Legal business name
REED S EDELMAN OD PA
Practice address
7124 Beracasa Way
Boca Raton, FL 33433-3448
Phone
(561) 750-7744
Fax
(561) 392-3200
NPI assigned
Sep 25, 2008
Last updated
Nov 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Dr. Reed S Edelman, ODNPI 1447240478
Title
President Optometrist
Phone
(561) 750-7774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1828 FL Primary

Addresses

Primary practice location

7124 Beracasa Way
Boca Raton, FL 33433-3448

Mailing address

7124 Beracasa Way
Boca Raton, FL 33433-3448
Phone (561) 750-7744

National Provider Directory

National Provider Directory

Locations

7124 Beracasa Way
Boca Raton, FL 33433
Phone (561) 750-7744

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": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1427208594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 BERACASA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333448",
            "telephone_number": "561-750-7744",
            "fax_number": "561-392-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 BERACASA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333448",
            "telephone_number": "561-750-7744",
            "fax_number": "561-392-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED S EDELMAN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "REED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OPTOMETRIST",
        "authorized_official_telephone_number": "561-750-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.