Active NPI
Eric Radzwill, O.D.
- Corneal and Contact Management Optometrist
- Fort Lauderdale, FL
National Provider Identifier
1861404741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 0003042
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0003042 | FL | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radzwill Optometric Associates Chartered | Corneal and Contact Management | Current | 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.
-
- Corneal and Contact Management Optometrist
- Fort Lauderdale, FL
- NPI 1609059054
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.