Individual provider Active NPI

Eric Wright, OD

  • Optometrist
  • Ft Lauderdale, FL
National Provider Identifier
1558096404
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6162 Issued in FL
Practice address
2900 W Cypress Creek Rd
Ft Lauderdale, FL 33309-1715
Phone
(954) 977-0192
NPI assigned
Jul 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6162 FL Primary

Addresses

Primary practice location

2900 W Cypress Creek Rd
Ft Lauderdale, FL 33309-1715

Mailing address

2900 W Cypress Creek Rd
Ft Lauderdale, FL 33309-1715

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
I20221003001130 FL Practitioner - Optometry 0345626164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6162FLMDOptometrist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
South Florida Vision Services, Inc. Optometrist CurrentSince Oct 1, 2022 Accepting new patients
South Florida Vision Associates, LLC PastSince Oct 9, 2022 Accepting new patients

Locations

2900 W Cypress Creek Rd
Ste 4
Ft Lauderdale, FL 33309
Phone (954) 676-8446

2900 W Cypress Creek Rd
Ste 1
Ft Lauderdale, FL 33309
Phone (954) 977-0192

1666 E Oakland Park Blvd
Oakland Park, FL 33334
Phone (954) 564-7454

12550 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 430-4030

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": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1558096404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091715",
            "telephone_number": "954-977-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.