Organization Active NPI

Florida Eye and Laser Center Inc.

  • Ophthalmologic Surgery Clinic/Center
  • Pompano Beach, FL
National Provider Identifier
1477700029
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
ME96010 Issued in FL
Legal business name
FLORIDA EYE AND LASER CENTER INC.
Practice address
2001 N Federal Hwy
Ste.#206
Pompano Beach, FL 33062-1030
Phone
(954) 942-3937
Fax
(954) 942-3904
NPI assigned
Aug 26, 2008
Last updated
Aug 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Dr. Lavkumar Harikrishna Panchal, M.D.
Title
Ophthalmologist
Phone
(954) 942-3937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME96010 FL
Ophthalmologic Surgery Clinic/Center 261QS0132X ME96010 FL Primary

Addresses

Primary practice location

2001 N Federal Hwy
Ste.#206
Pompano Beach, FL 33062-1030

Mailing address

2001 N Federal Hwy
Ste.#206
Pompano Beach, FL 33062-1030
Phone (954) 942-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080917000753 FL Part B Supplier - Clinic/Group Practice 4789751751 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL; Fort Lauderdale, FL; Pompano Beach, FL; Sunrise, FL

National Provider Directory

National Provider Directory

Locations

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

2001 N Federal Hwy
Unit 206
Pompano Beach, FL 33062
Phone (954) 707-1831

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1477700029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N FEDERAL HWY",
            "address_2": "STE.#206",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621030",
            "telephone_number": "954-942-3937",
            "fax_number": "954-942-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N FEDERAL HWY",
            "address_2": "STE.#206",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621030",
            "telephone_number": "954-942-3937",
            "fax_number": "954-942-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA EYE AND LASER CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "PANCHAL",
        "authorized_official_first_name": "LAVKUMAR",
        "authorized_official_middle_name": "HARIKRISHNA",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "954-942-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME96010",
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "FL",
            "license": "ME96010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.