Individual provider Active NPI

Douglas Michael Handley, O.D.

  • Optometrist
  • Aventura, FL
National Provider Identifier
1548301757
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3651 Issued in FL
Practice address
20335 Biscayne Blvd Ste 25
Aventura, FL 33180-1514
Phone
(305) 932-2020
Fax
(305) 932-1948
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3651 FL Primary

Addresses

Primary practice location

20335 Biscayne Blvd Ste 25
Aventura, FL 33180-1514

Mailing address

1000 Parkview Dr Apt 1010
Hallandale Beach, FL 33009-2934
Phone (954) 593-0574

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
I20090212000315 FL Practitioner - Optometry 8527123215 Practice locations: Miramar, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3651FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Miramar Vision Center Past Accepting new patients
Sanmar Optical Inc. Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548301757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARKVIEW DR APT 1010",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092934",
            "telephone_number": "954-593-0574",
            "fax_number": "305-932-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20335 BISCAYNE BLVD STE 25",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801514",
            "telephone_number": "305-932-2020",
            "fax_number": "305-932-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLEY",
        "first_name": "DOUGLAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.