Individual provider Active NPI

Anthony Ferris, OD

  • Optometrist
  • Pompano Beach, FL
National Provider Identifier
1457547366
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2892 Issued in FL
Practice address
2300 W Atlantic Blvd
Pompano Beach, FL 33069-2655
Phone
(954) 971-3858
NPI assigned
Sep 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2892 FL Primary

Addresses

Primary practice location

2300 W Atlantic Blvd
Pompano Beach, FL 33069-2655

Mailing address

2300 W Atlantic Blvd
Pompano Beach, FL 33069-2655
Phone (954) 971-3858

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101214000649 FL Practitioner - Optometry 0143417303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

6844 Gall Blvd
Zephyrhills, FL 33542-2512
Phone (813) 603-3479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP2892FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients

Locations

3665 E Bay Dr
Ste 192
Largo, FL 33771

10689 Big Bend Rd
Riverview, FL 33579
Phone (813) 699-1980

11290 Park Blvd
Ste B
Seminole, FL 33772
Phone (727) 374-5121

6927 4th St N
St Petersburg, FL 33702
Phone (727) 210-8672

1510 E Fowler Ave
Tampa, FL 33612
Phone (813) 971-0471

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

6844 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 603-3479

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1457547366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692655",
            "telephone_number": "954-971-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692655",
            "telephone_number": "954-971-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "ANTHONY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.