NPIMap

Organization Active NPI

North Ridge Eye Center, P.a.

Doing business as North Ridge Eye Center

  • Ophthalmology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1700941002
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME57956 Issued in FL
Legal business name
NORTH RIDGE EYE CENTER, P.A.
Doing business as
North Ridge Eye Center
Practice address
5601 N Dixie Hwy
Suite 115
Ft Lauderdale, FL 33334-4148
Phone
(954) 771-4271
Fax
(954) 776-5959
NPI assigned
Dec 27, 2006
Last updated
Sep 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Dr. Iley C Neely, MDNPI 1700810348
Title
President
Phone
(954) 771-4271

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
Ophthalmology Physician 207W00000X ME57956 FL Primary

Addresses

Primary practice location

5601 N Dixie Hwy
Suite 115
Ft Lauderdale, FL 33334-4148

Mailing address

5601 N Dixie Hwy
Suite 115
Ft Lauderdale, FL 33334-4148
Phone (954) 771-4271

Other names 1

  • North Ridge Eye Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1700941002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 N DIXIE HWY",
            "address_2": "SUITE 115",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333344148",
            "telephone_number": "954-771-4271",
            "fax_number": "954-776-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 N DIXIE HWY",
            "address_2": "SUITE 115",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333344148",
            "telephone_number": "954-771-4271",
            "fax_number": "954-776-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIDGE EYE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "ILEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-771-4271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME57956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Ridge Eye Center",
            "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 Sep 30, 2009; 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.