Individual provider Active NPI

Leon Maynard Shechtman, OD

  • Optometrist
  • North Miami Beach, FL
National Provider Identifier
1487669057
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3276 Issued in FL
Practice address
2000 NE 164TH St
North Miami Beach, FL 33162-4121
Phone
(305) 940-0037
Fax
(305) 940-1070
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3276 FL Primary

Addresses

Primary practice location

2000 NE 164TH St
North Miami Beach, FL 33162-4121

Mailing address

2000 NE 164TH St
North Miami Beach, FL 33162-4121
Phone (305) 940-0037

Other identifiers 2

IdentifierTypeStateIssuer
620629800MedicaidFL
1613OtherFLPRIMARY PLUS

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
I20060213000574 FL Practitioner - Optometry 4789699703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 NE 164TH St
North Miami Beach, FL 33162-4121
Phone (305) 940-0037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Miami Beach Eye Center LLC Optometrist CurrentSince May 19, 2011 Accepting new patients
Reed S Edelman OD PA Optometrist Past Accepting new patients

Locations

1950 NE 163rd St
North Miami Beach, FL 33162
Phone (305) 940-0037

2000 NE 164th St
North Miami Beach, FL 33162
Phone (305) 940-0037

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1487669057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NE 164TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624121",
            "telephone_number": "305-940-0037",
            "fax_number": "305-940-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NE 164TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624121",
            "telephone_number": "305-940-0037",
            "fax_number": "305-940-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHECHTMAN",
        "first_name": "LEON",
        "middle_name": "MAYNARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620629800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMARY PLUS",
            "identifier": "1613",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.