Organization Active NPI

Marc S Flesher O.D. P.a.

  • Eyewear Supplier
  • Wellington, FL
National Provider Identifier
1710127303
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPC2274 Issued in FL
Legal business name
MARC S FLESHER O.D. P.A.
Practice address
9304 Forest Hill Blvd
Wellington, FL 33411-6577
Phone
(561) 753-3375
Fax
(561) 753-3395
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Dr. Marc Flesher, O.D.
Title
Owner/President
Phone
(561) 753-3375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPC2274 FL Primary

Addresses

Primary practice location

9304 Forest Hill Blvd
Wellington, FL 33411-6577

Mailing address

9304 Forest Hill Blvd
Wellington, FL 33411-6577
Phone (561) 753-3375

Other identifiers 1

IdentifierTypeStateIssuer
FL2274OtherFLMISC INS

Other names 1

  • Eye-Site Optical Wellington Doing business as

National Provider Directory

National Provider Directory

Locations

9304 Forest Hill Blvd
Wellington, FL 33411
Phone (561) 753-3375

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1710127303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 FOREST HILL BLVD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334116577",
            "telephone_number": "561-753-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 FOREST HILL BLVD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334116577",
            "telephone_number": "561-753-3375",
            "fax_number": "561-753-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC S FLESHER O.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "FLESHER",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "561-753-3375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC2274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISC INS",
            "identifier": "FL2274",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye-Site Optical Wellington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.