Boca Raton Ophthalmology ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1073 Issued in FL

Legal business name

BOCA RATON OPHTHALMOLOGY ASC LLC

Doing business as

Outpatient Surgery Center of Boca Raton

Practice address

950 NW 13TH St
Boca Raton, FL 33486-2310

Phone

(561) 391-7642

Fax

(561) 391-2854

NPI assigned

Feb 6, 2006

Last updated

Oct 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Outpatient Surgery Center of Boca Raton Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Outpatient Surgery Center of BocaCCN 10C0001300

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1457323107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD # L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3820",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862310",
            "telephone_number": "561-391-7642",
            "fax_number": "561-391-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON OPHTHALMOLOGY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA MILITARY HEALTHCA",
            "identifier": "62650623",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Surgery Center of Boca Raton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Outpatient Surgery Center of Boca Raton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Boca Raton Open MRI
• Boca Raton Open MRI,LLC
• Boca Raton Orthopedic Associates PL
• Boca Raton Orthopedic Group Inc
• Boca Raton Outpatient Surgery & Laser Center LTD
• Boca Raton Outpatient Surgery and Laser Center
• Boca Raton Pediatric Associates PA

• Ambulatory Surgical Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.