Active NPI
Philip Walton Laird, MD
- Retina Specialist (Ophthalmology) Physician
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- ME118738
- Practice address
- 3399 Pga Blvd
Suite 350
Palm Beach Gardens, FL 33410-2804 - Phone
- (561) 624-0099
- Fax
- (561) 624-7373
- NPI assigned
- Aug 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME 118738 | FL | |
| Ophthalmology Physician | 207W00000X | 66203 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | ME118738 | FL | Primary |
Addresses
Primary practice location
3399 Pga Blvd
Suite 350
Palm Beach Gardens, FL 33410-2804
Mailing address
3399 Pga Blvd
Suite 350
Palm Beach Gardens, FL 33410-2819
Phone (561) 624-0099
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Mayo Medical School, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2090 SE Ocean Blvd
Stuart, FL 34996-3304
Phone (561) 624-0099
2201 S 10TH St
Fort Pierce, FL 34950-5382
Phone (772) 461-2020
3399 Pga Blvd
Suite 350
Palm Beach Gardens, FL 33410-2831
Phone (561) 624-0099
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.43 of 100
- Quality
- 88.86
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 118738 | FL | MD | Ophthalmology Physician |
| 66203 | GA | MD | Ophthalmology Physician |
| ME118738 | FL | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Care Specialists PLLC | Ophthalmology | Current | Accepting new patients |
| Retina Care Specialists | Ophthalmology | Past | Accepting new patients |
Locations
2201 S 10th St
Fort Pierce, FL 34950
Phone (772) 461-2020
3399 Pga Blvd
Ste 350
Palm Beach Gardens, FL 33410
Phone (561) 624-0099
1700 SE Hillmoor Dr
Ste 100
Port St Lucie, FL 34952
Phone (772) 878-6242
2090 SE Ocean Blvd
Stuart, FL 34996
Phone (561) 287-8777
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.
-
- Ophthalmology Physician
- Palm Beach Gardens, FL
- NPI 1912192139
-
- Ophthalmology Physician
- Palm Beach Gardens, FL
- NPI 1871534719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1548416399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3399 PGA BLVD",
"address_2": "SUITE 350",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102819",
"telephone_number": "561-624-0099",
"fax_number": "561-624-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3399 PGA BLVD",
"address_2": "SUITE 350",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102804",
"telephone_number": "561-624-0099",
"fax_number": "561-624-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIRD",
"first_name": "PHILIP",
"middle_name": "WALTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-13",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME 118738",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "66203",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "FL",
"license": "ME118738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.