Organization Active NPI

Alexandra Kehoe, OD PLLC

Doing business as Premier Eye Center of Boca

  • Optometrist
  • Boca Raton, FL
National Provider Identifier
1740562628
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4614 Issued in FL
Legal business name
ALEXANDRA KEHOE, OD PLLC
Doing business as
Premier Eye Center of Boca
Practice address
7840 Glades Rd
Suite 245
Boca Raton, FL 33434-4102
Phone
(561) 482-8300
Fax
(561) 482-8381
NPI assigned
Sep 15, 2011
Last updated
Jan 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Dr. Alexandra Kehoe, ODNPI 1952697625
Title
Optometrist
Phone
(561) 482-8300

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
Optometrist 152W00000X OPC4614 FL Primary

Addresses

Primary practice location

7840 Glades Rd
Suite 245
Boca Raton, FL 33434-4102

Mailing address

7840 Glades Rd
Suite 245
Boca Raton, FL 33434-4102
Phone (561) 482-8300

Other identifiers 1

IdentifierTypeStateIssuer
004090700MedicaidFL

Other names 1

  • Premier Eye Center of Boca Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111018000560 FL Part B Supplier - Clinic/Group Practice 1951573872 Receives reassigned benefits from 2 practitioners
Practice locations: Boca Raton, FL; Plantation, FL

National Provider Directory

National Provider Directory

Locations

7840 Glades Rd
Boca Raton, FL 33434
Phone (561) 482-8300

2001 N Federal Hwy
#104
Pompano Beach, FL 33062
Phone (954) 934-6377

Practitioners & affiliated clinicians

Practitioners 3

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": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1740562628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 GLADES RD",
            "address_2": "SUITE 245",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344102",
            "telephone_number": "561-482-8300",
            "fax_number": "561-482-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 GLADES RD",
            "address_2": "SUITE 245",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344102",
            "telephone_number": "561-482-8300",
            "fax_number": "561-482-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA KEHOE, OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "KEHOE",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "561-482-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004090700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Eye Center of Boca",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.