Organization Active NPI

Benjamin F Anderson Jr OD PA

  • Optometrist
  • Delray Beach, FL
National Provider Identifier
1669786539
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3866 Issued in FL
Legal business name
BENJAMIN F ANDERSON JR OD PA
Practice address
5062 W Atlantic Ave
Golden Eye & Ear
Delray Beach, FL 33484-8129
Phone
(561) 498-8884
Fax
(561) 498-7878
NPI assigned
Aug 3, 2010
Last updated
Aug 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Dr. Ben F Anderson Jr., O.D.
Title
Ceo
Phone
(954) 599-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 3866 FL Primary

Addresses

Primary practice location

5062 W Atlantic Ave
Golden Eye & Ear
Delray Beach, FL 33484-8129

Mailing address

351 N Congress Ave
Ste 174
Boynton Beach, FL 33426-3415
Phone (954) 599-1188

National Provider Directory

National Provider Directory

Locations

5062 W Atlantic Ave
Delray Beach, FL 33484
Phone (561) 498-8884

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": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1669786539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 N CONGRESS AVE",
            "address_2": "STE 174",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263415",
            "telephone_number": "954-599-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5062 W ATLANTIC AVE",
            "address_2": "GOLDEN EYE & EAR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848129",
            "telephone_number": "561-498-8884",
            "fax_number": "561-498-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN F ANDERSON JR OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-599-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.