Individual provider Active NPI

Adam J Ramsey, O.D.

  • Optometrist
  • Palm Beach Gardens, FL
National Provider Identifier
1720337272
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4711 Issued in FL
Practice address
4871 Pga Blvd
Palm Beach Gardens, FL 33418-3941
Phone
(561) 336-0733
Fax
(561) 863-9010
NPI assigned
Aug 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4711 FL Primary

Addresses

Primary practice location

4871 Pga Blvd
Palm Beach Gardens, FL 33418-3941

Mailing address

3106 Waddell Ave
West Palm Beach, FL 33411-6406
Phone (561) 336-0733

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121019000290 FL Practitioner - Optometry 0345490710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4871 Pga Blvd
Palm Beach Gardens, FL 33418-3941
Phone (561) 336-0733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4711FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Iconic Eye Care Inc CurrentSince Jul 1, 2013 Accepting new patients
Iconic Eye Care Inc PastSince Mar 9, 2020 Accepting new patients

Locations

1183 Old Dixie Hwy
Ste A
Lake Park, FL 33403
Phone (561) 848-8784

4871 Pga Blvd
Palm Beach Gardens, FL 33418
Phone (561) 336-0733

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1720337272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 WADDELL AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116406",
            "telephone_number": "561-336-0733",
            "fax_number": "561-863-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 PGA BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183941",
            "telephone_number": "561-336-0733",
            "fax_number": "561-863-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSEY",
        "first_name": "ADAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.