Individual provider Active NPI

Edgar R Caceres, MD

  • Ophthalmology Physician
  • Palm Springs, FL
National Provider Identifier
1679547236
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME92734 Issued in FL
Practice address
3230 Lake Worth Rd
Ste a
Palm Springs, FL 33461-3694
Phone
(561) 228-8882
Fax
(561) 357-3387
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3230 Lake Worth Rd
Suite a
Palm Springs, FL 33461-3694
Phone (561) 228-8882

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery74

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
I20060202000172 FL Practitioner - Ophthalmology 4183638901 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vision the Eye Care Center, PA Ophthalmology CurrentSince Dec 1, 2005 Accepting new patients

Locations

3230 Lake Worth Rd
Ste A
Palm Springs, FL 33461
Phone (561) 228-8882

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME92734 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

3230 Lake Worth Rd
Ste a
Palm Springs, FL 33461-3694

Mailing address

3230 Lake Worth Rd
Ste a
Palm Springs, FL 33461-3694
Phone (561) 228-8882

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
274391400MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2016.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1679547236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 LAKE WORTH RD",
            "address_2": "STE A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613694",
            "telephone_number": "561-228-8882",
            "fax_number": "561-357-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 LAKE WORTH RD",
            "address_2": "STE A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613694",
            "telephone_number": "561-228-8882",
            "fax_number": "561-357-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES",
        "first_name": "EDGAR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME92734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274391400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.