NPIMap

Organization Active NPI

Pediatric Ophthalmology Associates, P.a.

  • Ophthalmology Physician
  • West Palm Beach, FL
National Provider Identifier
1780726877
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME55034 Issued in FL
Legal business name
PEDIATRIC OPHTHALMOLOGY ASSOCIATES, P.A.
Practice address
1500 N Dixie Hwy
#200
West Palm Beach, FL 33401-2712
Phone
(561) 832-3774
Fax
(561) 832-4082
NPI assigned
Feb 13, 2007
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Norman C Johnson Jr., M.D.NPI 1275701682
Title
Physician President
Phone
(561) 832-3774

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME55034 FL Primary

Addresses

Primary practice location

1500 N Dixie Hwy
#200
West Palm Beach, FL 33401-2712

Mailing address

1500 N Dixie Hwy
#200
West Palm Beach, FL 33401-2712
Phone (561) 832-3774

Other identifiers 2

IdentifierTypeStateIssuer
3739927001OtherFLCIGNA
09187OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1500 N Dixie Hwy
Ste 200
West Palm Beach, FL 33401
Phone (561) 832-3774

Practitioners & affiliated clinicians

Practitioners 1

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1780726877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N DIXIE HWY",
            "address_2": "#200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012712",
            "telephone_number": "561-832-3774",
            "fax_number": "561-832-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N DIXIE HWY",
            "address_2": "#200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012712",
            "telephone_number": "561-832-3774",
            "fax_number": "561-832-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OPHTHALMOLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "561-832-3774",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME55034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3739927001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09187",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.