Individual provider Active NPI

Eric Radzwill, O.D.

  • Corneal and Contact Management Optometrist
  • Fort Lauderdale, FL
National Provider Identifier
1861404741
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
0003042 Issued in FL
Practice address
2312 E Sunrise Blvd
Fort Lauderdale, FL 33304-2500
Phone
(954) 557-5470
Fax
(954) 563-8911
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 0003042 FL Primary

Addresses

Primary practice location

2312 E Sunrise Blvd
Fort Lauderdale, FL 33304-2500

Mailing address

2312 E Sunrise Blvd
Fort Lauderdale, FL 33304-2500
Phone (954) 557-5470

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
I20040205000771 FL Practitioner - Optometry 3779476411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2312 E Sunrise Blvd
Fort Lauderdale, FL 33304-2500
Phone (954) 563-3450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003042FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Radzwill Optometric Associates Chartered Corneal and Contact Management CurrentSince Feb 4, 1999 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

2312 E Sunrise Blvd
Ft Lauderdale, FL 33304
Phone (954) 563-3450

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1861404741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042500",
            "telephone_number": "954-557-5470",
            "fax_number": "954-563-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042500",
            "telephone_number": "954-557-5470",
            "fax_number": "954-563-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADZWILL",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "0003042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.