Todd Erickson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2687 Issued in FL

Practice address

1280 Lantana Rd
Lantana, FL 33462-1543

Phone

(561) 582-3383

Fax

(561) 582-8821

NPI assigned

May 12, 2006

Last updated

Dec 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erickson Costello Butler Erickson Optometrist PAGroup PAC ID 2961499173, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drerickson@eyecaredoctors.eyefinity-direct.com

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

• Erickson Costello Butler Erickson Optometrist PA

  dba Eyecare Professionals

  • Optometrist
  • Lantana, FL
  • NPI 1982753133
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1497705917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 LANTANA RD",
            "address_2": "SUITE 1",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621543",
            "telephone_number": "561-582-3383",
            "fax_number": "561-582-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 LANTANA RD",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621543",
            "telephone_number": "561-582-3383",
            "fax_number": "561-582-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "TODD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410025419",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084833600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Senior Home Care LLC
• Embody Wellness Institute LLC (SilverStride Chiropractic)
• Emergency Dental L.L.C.
• Erickson Costello Butler Erickson Optometrist PA (Eyecare Professionals)
• Neil Erickson, O.D.
• Stephanie Etienvil, RN
• Everlift Medical Solutions LLC
• Evolutions Health Group LLC
• Gesner Fable
• Christine Familia, MD

• Optometrist in Lantana, FL
• Providers in Lantana, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.