Individual provider Active NPI

Jay S Wallshein, MD

  • Ophthalmology Physician
  • Atlantis, FL
National Provider Identifier
1669476693
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
92488 Issued in FL
Practice address
5057 South Congress Ave
Ste 403
Atlantis, FL 33461-4723
Phone
(561) 433-5200
Fax
(561) 433-5206
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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 92488 FL Primary

Addresses

Primary practice location

5057 South Congress Ave
Ste 403
Atlantis, FL 33461-4723

Mailing address

5057 South Congress Ave
Ste 403
Atlantis, FL 33461-4723
Phone (561) 433-5200

Other identifiers 1

IdentifierTypeStateIssuer
P00212814OtherFLMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000208 FL Practitioner - Ophthalmology 2062304058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Eye Center IncGroup PAC ID 6901846757, 4 clinicians

Practice addresses (Care Compare)

5057 S Congress Ave
Suite 403
Lake Worth, FL 33461-4723
Phone (561) 433-5200

5162 Linton Blvd
Suite 204
Delray Beach, FL 33484-6567
Phone (561) 865-7290

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92488FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Eye Center Inc Ophthalmology Current Accepting new patients
Palm Beach Eye Center Inc Ophthalmology CurrentSince Apr 1, 2005 Accepting new patients

Locations

5057 S Congress Ave
Ste 403
Lake Worth Beach, FL 33461
Phone (561) 433-5200

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1669476693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 SOUTH CONGRESS AVE",
            "address_2": "STE 403",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334614723",
            "telephone_number": "561-433-5200",
            "fax_number": "561-433-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5057 SOUTH CONGRESS AVE",
            "address_2": "STE 403",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334614723",
            "telephone_number": "561-433-5200",
            "fax_number": "561-433-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLSHEIN",
        "first_name": "JAY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "92488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00212814",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.