Greenacres Eye Associates PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GREENACRES EYE ASSOCIATES PA

Practice address

5493 10TH Ave N
Greenacres, FL 33463-2056

Phone

(843) 742-1006

NPI assigned

Feb 20, 2024

Last updated

Feb 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Bittner, ODNPI 1518185180

Title

Owner

Phone

(843) 742-1006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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.

• Benjamin July Bittner, O.D.

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1518185180

  FL

  Medicare reassignment NPD Authorized official
• Charlton Butts, OD

  • Optometrist
  • Port St Lucie, FL
  • NPI 1245751759
  Medicare reassignment NPD

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1851156699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15229 73RD TERRACE N",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33418",
            "telephone_number": "843-742-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5493 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632056",
            "telephone_number": "843-742-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENACRES EYE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "BITTNER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-742-1006",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muriel Granville-Stoev, M.D.
• Green Acres Family Chiropractic and Wellness Center ,Inc
• Green Worth Services Inc
• Greenacres Adult Day Care LLC
• Greenacres Dialysis Center LLC
• Greenacres Health & Rehab LLC
• Greenacres Injury and Rehab Center
• Greenacres Operator LLC
• Danielle L Greenfield, LCSW
• Andrea Vanegas Grillo, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.