Organization Active NPI

Peartree Eyecare PA

  • Optometrist
  • Palm Beach Gardens, FL
National Provider Identifier
1447427141
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4207 Issued in FL
Legal business name
PEARTREE EYECARE PA
Practice address
11300 Legacy Ave Unit 110
Palm Beach Gardens, FL 33410-3656
Phone
(561) 493-8915
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Suzanne J. Birnbaum, O.D.
Title
Optometrist
Phone
(954) 655-6645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4207 FL Primary

Addresses

Primary practice location

11300 Legacy Ave Unit 110
Palm Beach Gardens, FL 33410-3656

Mailing address

6531 Maggiore Dr
Boynton Beach, FL 33472-2555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1447427141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6531 MAGGIORE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 LEGACY AVE UNIT 110",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103656",
            "telephone_number": "561-493-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARTREE EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BIRNBAUM",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "954-655-6645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.