Organization Active NPI

Nelson Preschel., M.D., P.a.

  • Ophthalmology Physician
  • Pembroke Pines, FL
National Provider Identifier
1780900159
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME82083 Issued in FL
Legal business name
NELSON PRESCHEL., M.D., P.A.
Practice address
17900 NW 5TH St
Pembroke Pines, FL 33029-2808
Phone
(305) 222-7082
Fax
(305) 515-5606
NPI assigned
Apr 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Dr. Nelson Preschel, M.D.NPI 1124015540
Title
Director
Phone
(786) 457-3792

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 ME82083 FL Primary

Addresses

Primary practice location

17900 NW 5TH St
Pembroke Pines, FL 33029-2808

Mailing address

17900 NW 5TH St Ste 204
Pembroke Pines, FL 33029-2809
Phone (305) 222-7082

Other names 1

  • Premium Eye Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100810001085 FL Part B Supplier - Clinic/Group Practice 2961536131 Receives reassigned benefits from 2 practitioners
Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1780900159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 NW 5TH ST STE 204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292809",
            "telephone_number": "305-222-7082",
            "fax_number": "305-515-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 NW 5TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292808",
            "telephone_number": "305-222-7082",
            "fax_number": "305-515-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON PRESCHEL., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-10",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "PRESCHEL",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-457-3792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME82083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premium Eye Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.