Individual provider Active NPI

Robin Geller Shorrock, O.D.

  • Optometrist
  • Pompano Beach, FL
National Provider Identifier
1568445187
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FLC1864 Issued in FL
Practice address
211 S Federal Hwy
Pompano Beach, FL 33062-5322
Phone
(954) 786-1030
Fax
(954) 786-8282
NPI assigned
Nov 29, 2005
Last updated
Mar 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X FLC1864 FL Primary

Addresses

Primary practice location

211 S Federal Hwy
Pompano Beach, FL 33062-5322

Mailing address

211 S Federal Hwy
Pompano Beach, FL 33062-5322
Phone (954) 786-1030

Other identifiers 3

IdentifierTypeStateIssuer
277230OtherFLAV MED
20584OtherFLBLUE CROSS BLUE SHIELD
114740OtherFLAETNA

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
I20110603000248 FL Practitioner - Optometry 3577749761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FLC1864FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nona Kalfayan OD PA Optometrist PastSince Jan 29, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1568445187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330625322",
            "telephone_number": "954-786-1030",
            "fax_number": "954-786-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330625322",
            "telephone_number": "954-786-1030",
            "fax_number": "954-786-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORROCK",
        "first_name": "ROBIN",
        "middle_name": "GELLER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FLC1864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AV MED",
            "identifier": "277230",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20584",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "114740",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.