Radzwill Optometric Associates Chartered

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

0003042 Issued in FL

Legal business name

RADZWILL OPTOMETRIC ASSOCIATES CHARTERED

Practice address

2312 E Sunrise Blvd
Fort Lauderdale, FL 33304-2500

Phone

(954) 563-3450

Fax

(954) 563-8911

NPI assigned

Dec 7, 2007

Last updated

Dec 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Radzwill, O.D.NPI 1861404741

Title

President

Phone

(954) 563-3450

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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.

• Eric Radzwill, O.D.

  • Corneal and Contact Management Optometrist
  • Fort Lauderdale, FL
  • NPI 1861404741
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1609059054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042500",
            "telephone_number": "954-563-3450",
            "fax_number": "954-563-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042500",
            "telephone_number": "954-563-3450",
            "fax_number": "954-563-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADZWILL OPTOMETRIC ASSOCIATES CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "RADZWILL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-563-3450",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "0003042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K0735",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Rachman
• Luciano John Radi, PA-C
• Radiation Oncology Associates of Ft Lauderdale PA
• Radius Medical Center LLC (Radius Medical Center and Spine Specialists)
• Radmed Associated, Inc
• Eric Radzwill, O.D.
• Raed Hattab PA
• John W. Rafalko, ED.D., PA-C
• Alejandro Rafuls, A.R.N.P., FNP-C
• Tiffany Dawn Ragan

• Corneal and Contact Management Optometrist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Corneal and Contact Management Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.