Organization Active NPI

Syn-Optic Eye Care

  • Optometrist
  • Fort Lauderdale, FL
National Provider Identifier
1700461183
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SYN-OPTIC EYE CARE
Doing business as
Syn-optic eye care
Practice address
3320 NE 34TH St
Fort Lauderdale, FL 33308-6906
Phone
(954) 515-9924
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Dr. Randa Djabri, O.D.NPI 1699399386
Title
Optometrist
Phone
(954) 515-9924

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 Primary

Addresses

Primary practice location

3320 NE 34TH St
Fort Lauderdale, FL 33308-6906

Mailing address

2206 SW 16TH Ter
Fort Lauderdale, FL 33315-1600
Phone (954) 515-9924

Other identifiers 1

IdentifierTypeStateIssuer
1699399386OtherFLINDIVIDUAL NPI

Other names 1

  • Syn-optic eye care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210507002343 FL Part B Supplier - Clinic/Group Practice 1557770393 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

3320 NE 34th St
Ft Lauderdale, FL 33308
Phone (954) 515-9924

Practitioners & affiliated clinicians

Practitioners 1

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": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1700461183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 SW 16TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151600",
            "telephone_number": "954-515-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 NE 34TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086906",
            "telephone_number": "954-515-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYN-OPTIC EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "DJABRI",
        "authorized_official_first_name": "RANDA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "954-515-9924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1699399386",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Syn-optic eye care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.