Individual provider Active NPI

Lisa E Nadel, OD

  • Optometrist
  • Coconut Creek, FL
National Provider Identifier
1780716837
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2624 Issued in FL
Practice address
6518 N State Road 7
Coconut Creek, FL 33073-3623
Phone
(954) 426-4944
Fax
(954) 426-3109
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2624 FL Primary

Addresses

Primary practice location

6518 N State Road 7
Coconut Creek, FL 33073-3623

Mailing address

6518 N State Road 7
Coconut Creek, FL 33073-3623
Phone (954) 426-4944

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
I20120821000677 FL Practitioner - Optometry 9537273396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lisa E Nadel OD PAGroup PAC ID 3476672387, 2 clinicians
Aeg Florida Professional PLLCGroup PAC ID 3870960032, 70 clinicians

Practice addresses (Care Compare)

6518 N State Rd
Suite 7
Coconut Creek, FL 33073-3623
Phone (954) 426-4944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2624FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa E Nadel OD PA Optometrist CurrentSince Dec 17, 1996 Accepting new patients
Aeg Florida Professional PLLC Optometrist CurrentSince Feb 3, 2026 Accepting new patients

Locations

6562 N State Road 7
Coconut Creek, FL 33073
Phone (954) 426-4944

6518 N State Road 7
Coconut Creek, FL 33073
Phone (954) 426-4944

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1780716837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 N STATE ROAD 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733623",
            "telephone_number": "954-426-4944",
            "fax_number": "954-426-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6518 N STATE ROAD 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733623",
            "telephone_number": "954-426-4944",
            "fax_number": "954-426-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEL",
        "first_name": "LISA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.