NPIMap

Organization Active NPI

Eye & Ear of Wellington LLC

  • Optometrist
  • Wellington, FL
National Provider Identifier
1548727381
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE & EAR OF WELLINGTON LLC
Practice address
11924 West Forest Hill Blvd Ste 31
Wellington, FL 33414-6258
Phone
(561) 798-8282
Fax
(561) 798-2840
NPI assigned
Feb 28, 2019
Last updated
Feb 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Barry Frankel, ODNPI 1215961891
Title
Owner
Phone
(561) 964-1333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11924 West Forest Hill Blvd Ste 31
Wellington, FL 33414-6258

Mailing address

11924 Forest Hill Blvd Ste 31
Wellington, FL 33414-6258
Phone (561) 798-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200108000710 FL Part B Supplier - Clinic/Group Practice 3476889742 Receives reassigned benefits from 4 practitioners
Practice locations: Wellington, FL

National Provider Directory

National Provider Directory

Locations

11924 Forest Hill Blvd
Ste 31
Wellington, FL 33414
Phone (561) 798-8282

Practitioners & affiliated clinicians

Practitioners 4

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": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1548727381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11924 FOREST HILL BLVD STE 31",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146258",
            "telephone_number": "561-798-8282",
            "fax_number": "561-798-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11924 WEST FOREST HILL BLVD STE 31",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146258",
            "telephone_number": "561-798-8282",
            "fax_number": "561-798-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE & EAR OF WELLINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "FRANKEL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-964-1333",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.