Coral Springs Eye Center Chartered

Primary specialty

OptometristTaxonomy code 152W00000X

License

FLOPC1231 Issued in FL

Legal business name

CORAL SPRINGS EYE CENTER CHARTERED

Practice address

101 N State Road 7
Suite 103
Margate, FL 33063-4500

Phone

(954) 972-6934

Fax

(954) 972-6946

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Robert Koganovsky, OD

Title

President

Phone

(954) 972-6934

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1750586491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N STATE ROAD 7",
            "address_2": "SUITE 103",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330634500",
            "telephone_number": "954-972-6934",
            "fax_number": "954-972-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N STATE ROAD 7",
            "address_2": "SUITE 103",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330634500",
            "telephone_number": "954-972-6934",
            "fax_number": "954-972-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL SPRINGS EYE CENTER CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "KOGANOVSKY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-972-6934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FLOPC1231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conviva Medical Center Management LLC
• Cora Health Services, Inc.
• Cora Pharmacy, LLC
• Coral Plaza Alf LLC
• Coral Plaza Retirement Residence, LLC
• Coral Springs Physicians Associates Inc
• Coral Walk-in Medical Center, LLC
• Corepoint Medical LLC
• Carlos A Corrales, MD
• Covenant Medical Supplies Inc.

• Optometrist in Margate, FL
• Providers in Margate, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.