Individual provider Active NPI

Elena L. Monks, OD

  • Optometrist
  • Royal Palm Beach, FL
National Provider Identifier
1518195353
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4875 Issued in FL
Practice address
11925 Southern Blvd Unit 4
Royal Palm Beach, FL 33411-7629
Phone
(561) 270-5520
Fax
(561) 270-5530
NPI assigned
Jul 1, 2009
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00621000 NJ
Optometrist 152W00000X 4875 FL Primary

Addresses

Primary practice location

11925 Southern Blvd Unit 4
Royal Palm Beach, FL 33411-7629

Mailing address

15589 Bent Creek Rd
Wellington, FL 33414-6315
Phone (201) 983-3783

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
I20190502002877 FL Practitioner - Optometry 9638355423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11925 Southern Blvd
Suite 4
Royal Palm Beach, FL 33411-7672
Phone (561) 270-5520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4875FLMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Southern PLLC Optometrist CurrentSince Apr 18, 2023 Accepting new patients
D a Benedetto MD PA Past Accepting new patients

Locations

11925 Southern Blvd
Ste 4
Royal Palm Beach, FL 33411
Phone (561) 270-5520

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1518195353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15589 BENT CREEK RD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146315",
            "telephone_number": "201-983-3783",
            "fax_number": "561-270-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 SOUTHERN BLVD UNIT 4",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117629",
            "telephone_number": "561-270-5520",
            "fax_number": "561-270-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONKS",
        "first_name": "ELENA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00621000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.