Active NPI
Eye Surgeon & Consultants PA
- Ophthalmology Physician
- Hollywood, FL
National Provider Identifier
1649376914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE SURGEON & CONSULTANTS PA
- Practice address
- 4651 Sheridan St
Suite 100
Hollywood, FL 33021-3457 - Phone
- (954) 894-1500
- Fax
- (954) 894-1526
- NPI assigned
- Sep 15, 2006
- Last updated
- Jan 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Delain Joyce
- Title
- Credentialing Coordinator
- Phone
- (954) 894-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
4651 Sheridan St
Suite 100
Hollywood, FL 33021-3457
Mailing address
4651 Sheridan St
Suite 100
Hollywood, FL 33021-3457
Phone (954) 894-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4651 Sheridan St
Ste 10
Hollywood, FL 33021
4651 Sheridan St
Ste 100
Hollywood, FL 33021
Phone (954) 894-1500
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Ophthalmology Physician
- Plantation, FL
- NPI 1598298895
-
- Optometrist
- Hollywood, FL
- NPI 1457792350
-
- Ophthalmology Physician
- Hollywood, FL
- NPI 1053308460
-
- Diagnostic Radiology Physician
- Lindenhurst, NY
- NPI 1962473819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296000000000",
"number": "1649376914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 SHERIDAN ST",
"address_2": "SUITE 100",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213457",
"telephone_number": "954-894-1500",
"fax_number": "954-894-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 SHERIDAN ST",
"address_2": "SUITE 100",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213457",
"telephone_number": "954-894-1500",
"fax_number": "954-894-1526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE SURGEON & CONSULTANTS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2011-01-26",
"status": "A",
"authorized_official_last_name": "JOYCE",
"authorized_official_first_name": "DELAIN",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "954-894-1500"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.