NPIMap

Organization Active NPI

L David Richards Jr Optometric Physician

  • Optometrist
  • Boynton Beach, FL
National Provider Identifier
1548435167
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1247 Issued in FL
Legal business name
L DAVID RICHARDS JR OPTOMETRIC PHYSICIAN
Practice address
2300 S Congress Ave Ste 102
Boynton Beach, FL 33426-7400
Phone
(561) 742-1944
NPI assigned
Apr 24, 2008
Last updated
Aug 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Teresa Davis
Title
Office Manager
Phone
(561) 742-1944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1247 FL Primary

Addresses

Primary practice location

2300 S Congress Ave Ste 102
Boynton Beach, FL 33426-7400

Mailing address

2300 S Congress Ave Ste 102
Boynton Beach, FL 33426-7400
Phone (561) 742-1944

Other identifiers 2

IdentifierTypeStateIssuer
K7231OtherFLMEDICARE GROUP
084843300MedicaidFL

National Provider Directory

National Provider Directory

Locations

2300 S Congress Ave
Ste 102
Boynton Beach, FL 33426
Phone (561) 742-1944

Practitioners & affiliated clinicians

Practitioners 7

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": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1548435167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S CONGRESS AVE STE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267400",
            "telephone_number": "561-742-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S CONGRESS AVE STE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267400",
            "telephone_number": "561-742-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L DAVID RICHARDS JR OPTOMETRIC PHYSICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-742-1944"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K7231",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084843300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.