Individual provider Active NPI

Paul Eric Pataky, M.D.

  • Ophthalmology Physician
  • Boynton Beach, FL
National Provider Identifier
1639196645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
034720 Issued in FL
Practice address
2623 S Seacrest Blvd
Suite 102
Boynton Beach, FL 33435-7501
Phone
(561) 734-5056
Fax
(561) 734-0288
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 034720 FL Primary

Addresses

Primary practice location

2623 S Seacrest Blvd
Suite 102
Boynton Beach, FL 33435-7501

Mailing address

2623 S Seacrest Blvd
Suite 102
Boynton Beach, FL 33435-7501
Phone (561) 734-5056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034720FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Eye Center Inc Ophthalmology Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639196645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 S SEACREST BLVD",
            "address_2": "SUITE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357501",
            "telephone_number": "561-734-5056",
            "fax_number": "561-734-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 S SEACREST BLVD",
            "address_2": "SUITE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357501",
            "telephone_number": "561-734-5056",
            "fax_number": "561-734-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATAKY",
        "first_name": "PAUL",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "034720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.