NPIMap

Organization Active NPI

Mittleman Eye Center PA

  • Ophthalmology Physician
  • West Palm Beach, FL
National Provider Identifier
1518097401
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MITTLEMAN EYE CENTER PA
Practice address
2000 Palm Beach Lakes Blvd
Suite 400
West Palm Beach, FL 33409-6504
Phone
(561) 478-2015
Fax
(561) 478-1300
NPI assigned
Mar 7, 2007
Last updated
Aug 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Hugh Glatts
Title
Office Manager
Phone
(561) 478-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2000 Palm Beach Lakes Blvd
Suite 400
West Palm Beach, FL 33409-6504

Mailing address

2000 Palm Beach Lakes Blvd
Suite 400
West Palm Beach, FL 33409-6504
Phone (561) 478-2015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031210000152 FL Part B Supplier - Clinic/Group Practice 8628974730 Receives reassigned benefits from 11 practitioners
Practice locations: Jupiter, FL; Palm Beach Gardens, FL; West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

13901 US Highway 1
Ste 101
Juno Beach, FL 33408

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • Direct secure messaging: dmittleman@mittlemaneye.intellechartdirect.net
  • Direct secure messaging: eluzon@mittlemaneye.intellechartdirect.net
  • Direct secure messaging: jgoldberg@mittlemaneye.intellechartdirect.net
  • Direct secure messaging: merickson@mittlemaneye.intellechartdirect.net
  • Direct secure messaging: pdiebele@mittlemaneye.intellechartdirect.net
  • Direct secure messaging: scuellar@mittlemaneye.intellechartdirect.net

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1518097401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096504",
            "telephone_number": "561-478-2015",
            "fax_number": "561-478-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096504",
            "telephone_number": "561-478-2015",
            "fax_number": "561-478-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITTLEMAN EYE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "GLATTS",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-478-2015"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.