Active NPI
Roy Z Braunstein MD PA
- Ophthalmology Physician
- Lake Wales, FL
National Provider Identifier
1487643649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME0042087
- Legal business name
- ROY Z BRAUNSTEIN MD PA
- Practice address
- 749 State Road 60 E
Lake Wales, FL 33853-4240 - Phone
- (863) 676-7624
- Fax
- (863) 678-0263
- NPI assigned
- Oct 19, 2005
- Last updated
- Oct 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roy Z Braunstein, MD
- Title
- Owner
- Phone
- (863) 676-7624
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME0042087 | FL | Primary |
Addresses
Primary practice location
749 State Road 60 E
Lake Wales, FL 33853-4240
Mailing address
749 State Road 60 E
Lake Wales, FL 33853-4240
Phone (863) 676-7624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN3581 | Other | FL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Ophthalmology Physician
- Lake Wales, FL
- NPI 1235328444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445212800000",
"number": "1487643649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 STATE ROAD 60 E",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534240",
"telephone_number": "863-676-7624",
"fax_number": "863-678-0263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 STATE ROAD 60 E",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534240",
"telephone_number": "863-676-7624",
"fax_number": "863-678-0263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROY Z BRAUNSTEIN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-19",
"last_updated": "2015-10-19",
"status": "A",
"authorized_official_last_name": "BRAUNSTEIN",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "Z",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-676-7624",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME0042087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CN3581",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Wales, FL
- Arianna Rodriguez
- Sarah Rodriguez
- John Roth, PHARMD
- Shanna Lee Rowe, M.A., CCC-SLP
- Bethany K Rowlings
- Royal Palm Orthopedic & Sports Medicine Institute LLC (Royal Palm Orthopedics)
- Royal Palm Orthopedic Sports & Spine Institute, LLC
- Royal Palm Orthopedics Sports Medicine and Institute
- Luis E Ruiz Velez
- Rita Ryan Ryan, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.