Faten Edriskhalaf, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5216 Issued in FL

Practice address

4302 Alton Rd Ste 300
Miami Beach, FL 33140

Phone

(305) 672-9989

Fax

(786) 245-2006

NPI assigned

Jul 6, 2016

Last updated

Jul 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Blinking Owl Eyecare LLC

  • Optometrist
  • Davie, FL
  • NPI 1629546007
  Medicare reassignment Authorized official
• University of Miami

  dba UMiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - ASC)

  • Ambulatory Surgical Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1346317039
  NPD (past)

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1427400175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BISCAYNE BLVD",
            "address_2": "3602",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331322905",
            "telephone_number": "786-452-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 300",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "305-672-9989",
            "fax_number": "786-245-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDRISKHALAF",
        "first_name": "FATEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IU041U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yensy Echemendia
• German Echeverry, MD
• Richard C Eckert, APRN, CRNA
• Eclipse Medical Diagnostics LLC
• Matthew James Eden
• Edward a. Gross, MD, PA
• Jeannette Blanca Egozi
• Mohamed Eid
• Bruce N Eisenberg, M.D.
• Donald M Eisenman, A.P.

• Optometrist in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.