Organization Active NPI

Pamela Ebmeier Montmeny O D P a

  • Optometrist
  • Ft Lauderdale, FL
National Provider Identifier
1659680759
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2585 Issued in FL
Legal business name
PAMELA EBMEIER MONTMENY O D P A
Practice address
2641 E Oakland Park Blvd
Suite 3
Ft Lauderdale, FL 33306-1665
Phone
(954) 563-3211
Fax
(954) 563-3919
NPI assigned
Oct 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Ms. Pamela Ebmeier, O.D.NPI 1235107103
Title
Owner
Phone
(954) 563-2211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2585 FL Primary

Addresses

Primary practice location

2641 E Oakland Park Blvd
Suite 3
Ft Lauderdale, FL 33306-1665

Mailing address

2641 E Oakland Park Blvd
Suite 3
Ft Lauderdale, FL 33306-1665
Phone (954) 563-3211

Other identifiers 3

IdentifierTypeStateIssuer
3920370001OtherFLDME
FP779AOtherFLMEDICARE ID
620082600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111212000448 FL Part B Supplier - Clinic/Group Practice 6204947013 Receives reassigned benefits from 2 practitioners
Practice locations: Ft Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

2641 E Oakland Park Blvd
Ste 3
Ft Lauderdale, FL 33306
Phone (954) 424-8801

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1659680759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 E OAKLAND PARK BLVD",
            "address_2": "SUITE 3",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061665",
            "telephone_number": "954-563-3211",
            "fax_number": "954-563-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 E OAKLAND PARK BLVD",
            "address_2": "SUITE 3",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061665",
            "telephone_number": "954-563-3211",
            "fax_number": "954-563-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA EBMEIER MONTMENY O D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "EBMEIER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-563-2211",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "3920370001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "FP779A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620082600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.

Verify at the official NPI Registry.