Deon Rae Erickson OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

FL2628 Issued in FL

Legal business name

DEON RAE ERICKSON OD INC

Practice address

3615 W Woolbright Rd
Boynton Beach, FL 33436-7244

Phone

(561) 734-1887

Fax

(561) 736-8991

NPI assigned

Dec 4, 2007

Last updated

Jan 14, 2008By 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

Deon Rae Erickson, O DNPI 1659338929

Title

Optometrist

Phone

(561) 734-1887

Specialties & licenses 1

Addresses

Other identifiers 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.

• Deon Rae Erickson, OD

  • Optometrist
  • Palm Beach Gardens, FL
  • NPI 1659338929
  Authorized official Same address or phone

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1629250436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367244",
            "telephone_number": "561-734-1887",
            "fax_number": "561-736-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367244",
            "telephone_number": "561-734-1887",
            "fax_number": "561-736-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEON RAE ERICKSON OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "DEON",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "561-734-1887",
        "authorized_official_credential": "O D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL2628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084865400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Nicole Denson
• Dental Arts of Boynton Beach
• Dental Team of Boynton
• Dentaland PA
• Nicholas Dente, PTA
• Ansuya Prithavi Deosaran, MD
• Dermatology Associated of the Palm Beaches
• Britany Renee Derrow, HIS
• Jennifer Lynn Dery, PHARM D
• Darshanaben Nikhildev Desai

• Optometrist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.