Individual provider Active NPI

Neil G Elliot, O.D.

  • Optometrist
  • Boca Raton, FL
National Provider Identifier
1538246111
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC0001737 Issued in FL
Practice address
20449 State Road 7
Suite a-4
Boca Raton, FL 33498-6776
Phone
(561) 487-2777
Fax
(561) 482-3247
NPI assigned
Nov 1, 2006
Last updated
Dec 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC0001737 FL Primary

Addresses

Primary practice location

20449 State Road 7
Suite a-4
Boca Raton, FL 33498-6776

Mailing address

20449 State Road 7
Suite a-4
Boca Raton, FL 33498-6776
Phone (561) 487-2777

Other identifiers 1

IdentifierTypeStateIssuer
19466OtherFLMEDICARE B

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
I20110118000738 FL Practitioner - Optometry 9234252255 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC0001737FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Mar 19, 2018 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Mar 19, 2018 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients

Locations

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

20449 State Road 7
Ste A4
Boca Raton, FL 33498
Phone (561) 487-2777

20449 State Road 7
#A4
Boca Raton, FL 33498
Phone (561) 487-2777

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1538246111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20449 STATE ROAD 7",
            "address_2": "SUITE A-4",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986776",
            "telephone_number": "561-487-2777",
            "fax_number": "561-482-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20449 STATE ROAD 7",
            "address_2": "SUITE A-4",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986776",
            "telephone_number": "561-487-2777",
            "fax_number": "561-482-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOT",
        "first_name": "NEIL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC0001737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "19466",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.