Individual provider Active NPI

Catherine Fiedler, O D P A

  • Optometrist
  • Lake Worth, FL
National Provider Identifier
1730393083
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3582 Issued in FL
Practice address
3345 S. Congress Ave
Lake Worth, FL 33461
Phone
(561) 964-0220
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3582 FL Primary

Addresses

Primary practice location

3345 S. Congress Ave
Lake Worth, FL 33461

Mailing address

10821 Bitternut Hickory LN
Boynton Beach, FL 33437
Phone (561) 734-5373

Other identifiers 1

IdentifierTypeStateIssuer
OPC 3582OtherFLLICENSE NUMBER

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
I20180119000750 FL Practitioner - Optometry 8628337680 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3582FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Aug 1, 2020 Accepting new patients
South Florida Vision Services, Inc. Optometrist CurrentSince Jul 14, 2024 Accepting new patients
Florida Eye Microsurgical Institute Inc CurrentSince Mar 6, 2021 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

1717 W Woolbright Rd
Boynton Beach, FL 33426
Phone (561) 271-0465

6618 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 498-5007

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2900 W Cypress Creek Rd
Ste 4
Ft Lauderdale, FL 33309
Phone (954) 676-8446

104 W Vine St
Ste C
Kissimmee, FL 34741
Phone (407) 944-4240

928 W New Haven Ave
Melbourne, FL 32901
Phone (321) 728-4988

100 N Plumosa St
Merritt Island, FL 32953
Phone (321) 455-2950

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

330 N Alafaya Trl
Orlando, FL 32828
Phone (407) 208-1027

3808 E Colonial Dr
Orlando, FL 32803
Phone (407) 894-7533

3180 Northlake Blvd
Palm Beach Gardens, FL 33403
Phone (561) 844-2119

3345 S Congress Ave
Palm Springs, FL 33461
Phone (561) 964-0220

12550 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 430-4030

1477 NW Saint Lucie West Blvd
#105
Port Saint Lucie, FL 34986

1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1730393083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10821 BITTERNUT HICKORY LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-734-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 S. CONGRESS AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-964-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEDLER",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "O D P A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "OPC 3582",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.