Organization Active NPI

George a Fournier III, M.D., F.a.C.S., P.a.

  • Ophthalmology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1649218645
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME51944 Issued in FL
Legal business name
GEORGE A FOURNIER III, M.D., F.A.C.S., P.A.
Practice address
2466 E Commercial Blvd
Ft Lauderdale, FL 33308-4011
Phone
(954) 492-1177
Fax
(954) 492-0352
NPI assigned
Jun 2, 2006
Last updated
Dec 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Dr. George A Fournier III, MDNPI 1265479646
Title
President
Phone
(954) 492-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1584 FL
Ophthalmology Physician 207W00000X ME51944 FL Primary

Addresses

Primary practice location

2466 E Commercial Blvd
Ft Lauderdale, FL 33308-4011

Mailing address

2466 E Commercial Blvd
Ft Lauderdale, FL 33308-4011
Phone (954) 492-1177

Other identifiers 2

IdentifierTypeStateIssuer
99343OtherFLBCBS FL
DB2199OtherFLRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2466 E Commercial Blvd
Ste 201
Fort Lauderdale, FL 33308

2466 E Commercial Blvd
Ste 102
Ft Lauderdale, FL 33308
Phone (954) 462-1177

6405 N Federal Hwy
#40
Ft Lauderdale, FL 33308
Phone (954) 492-1177

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1649218645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 E COMMERCIAL BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084011",
            "telephone_number": "954-492-1177",
            "fax_number": "954-492-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 E COMMERCIAL BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084011",
            "telephone_number": "954-492-1177",
            "fax_number": "954-492-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A FOURNIER III, M.D., F.A.C.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "FOURNIER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-492-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1584",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME51944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "99343",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB2199",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.