Individual provider Active NPI

Dawn Bearden, O.D.

  • Optometrist
  • Ft Lauderdale, FL
National Provider Identifier
1851607758
Registry record updated Oct 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2885 Issued in FL
Practice address
1567 S Federal Hwy
Ft Lauderdale, FL 33316-2686
Phone
(954) 763-2842
Fax
(954) 763-2850
NPI assigned
Aug 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 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 2885 FL Primary

Addresses

Primary practice location

1567 S Federal Hwy
Ft Lauderdale, FL 33316-2686

Mailing address

209 N Fort Lauderdale Beach Blvd
11G
Ft Lauderdale, FL 33304-4365
Phone (954) 303-6600

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
I20110216000486 FL Practitioner - Optometry 9133300627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2885FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Eye Specialists LLC Optometrist PastSince Jul 17, 2016 Accepting new patients
Craig T. Hanley, O.D., P.a. Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475280000000",
    "number": "1851607758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N FORT LAUDERDALE BEACH BLVD",
            "address_2": "11G",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044365",
            "telephone_number": "954-303-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 S FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162686",
            "telephone_number": "954-763-2842",
            "fax_number": "954-763-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDEN",
        "first_name": "DAWN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2016-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.