Eric D. Medina PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ERIC D. MEDINA PLLC

Practice address

18156 Clear Brook Cir
Boca Raton, FL 33498-1943

Phone

(561) 251-9099

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Eric Medina, MDNPI 1407269301

Title

Owner

Phone

(561) 251-9099

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Daniel Medina, M.D.

  • Ophthalmology Physician
  • Boca Raton, FL
  • NPI 1407269301
  NPD Authorized official

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1548819618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18156 CLEAR BROOK CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981943",
            "telephone_number": "561-251-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18156 CLEAR BROOK CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981943",
            "telephone_number": "561-251-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Clint Moore Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334875714",
            "country_code": "US",
            "telephone_number": "561-251-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERIC D. MEDINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-251-9099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME135030",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexa Jaqueline Erazo
• Christel Erazo
• Libby Erblat
• Heather Ann Ercolano, DDS, MS
• Ergent Care Florida LLC
• Eric H. Wallace D.D.S P.a.
• Eric S Rutstein MD PA
• Erica Wogalter PT Group Inc.
• Erickson Chiropractic Health
• Brock T Erickson, DC

• Ophthalmology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.