Active NPI
Gane Faber II, OPTICIAN
- Optician
- Fort Lauderdale, FL
National Provider Identifier
1437162393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- D03253
- Practice address
- 4800 NE 20TH Ter
Suite 305
Ft Lauderdale, FL 33308-4510 - Phone
- (954) 565-4009
- Fax
- (954) 565-4009
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | D03253 | FL | Primary |
Addresses
Primary practice location
4800 NE 20TH Ter
Suite 305
Ft Lauderdale, FL 33308-4510
Mailing address
4800 NE 20TH Ter
Suite 305
Ft Lauderdale, FL 33308-4510
Phone (954) 565-4009
Other names 1
- B.J.F. Enterprises Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D03253 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1437162393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 NE 20TH TER",
"address_2": "SUITE 305",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084510",
"telephone_number": "954-565-4009",
"fax_number": "954-565-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 NE 20TH TER",
"address_2": "SUITE 305",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084510",
"telephone_number": "954-565-4009",
"fax_number": "954-565-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABER",
"first_name": "GANE",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "D03253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "B.J.F.",
"last_name": "ENTERPRISES INC.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.