Active NPI
Ophthalmology Associates PA
- Ophthalmology Physician
- Fort Lauderdale, FL
National Provider Identifier
1487827168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME32083
- Legal business name
- OPHTHALMOLOGY ASSOCIATES PA
- Practice address
- 2334 NE 53Rd St
Fort Lauderdale, FL 33308-3212 - Phone
- (954) 776-2020
- NPI assigned
- Apr 2, 2008
- 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
- Dr. Marc J Goldberg, MD
- Title
- President
- Phone
- (954) 776-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME32083 | FL | Primary |
Addresses
Primary practice location
2334 NE 53Rd St
Fort Lauderdale, FL 33308-3212
Mailing address
2334 NE 53Rd St
Fort Lauderdale, FL 33308-3212
Phone (954) 776-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40668 | Other | FL | MEDICARE ID |
| 0993730002 | Other | FL | MEDICARE DMERC |
National Provider Directory
National Provider Directory- Tax ID family
- Foundation for Advanced Eye Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Sunrise, FL
- NPI 1215900246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207094400000",
"number": "1487827168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2334 NE 53RD ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333083212",
"telephone_number": "954-776-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2334 NE 53RD ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333083212",
"telephone_number": "954-776-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMOLOGY ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-02",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-776-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME32083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "40668",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "0993730002",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.