Palm Beach Eye Doctor Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PALM BEACH EYE DOCTOR INC

Practice address

10155 Okeechobee Blvd
Royal Palm Beach, FL 33411-1404

Phone

(561) 784-2778

Fax

(561) 798-9409

NPI assigned

Jun 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Nodland, OD

Title

Owner

Phone

(561) 784-2778

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1639664956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 QUEENS CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017323",
            "telephone_number": "561-784-2778",
            "fax_number": "561-798-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111404",
            "telephone_number": "561-784-2778",
            "fax_number": "561-798-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH EYE DOCTOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "NODLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-784-2778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annique Joielle Owens
• Lismaily Pacheco Perez, RBT
• Sophia Padron, APRN
• Yasmin Paixao, PA-C
• Nicole Palatnikov, PHARMD
• Palm Beach Health Center PLLC
• Palm Beach Pediatric Therapy, Inc
• Palm Beach Sleep PA
• Enrique Palmer, M.D.
• Palms Royale Alf LLC

• Optometrist in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.