NPIMap

Organization Active NPI

Eye Surgery Associates LLC

  • Specialist
  • Hollywood, FL
National Provider Identifier
1861589343
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0602931 Issued in FL
Legal business name
EYE SURGERY ASSOCIATES LLC
Practice address
300 S Park Rd Ste 300
Hollywood, FL 33021-8353
Phone
(954) 925-2740
Fax
(954) 923-8379
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
George L Neal
Title
President
Phone
(469) 214-0144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0602931 FL Primary

Addresses

Primary practice location

300 S Park Rd Ste 300
Hollywood, FL 33021-8353

Mailing address

PO Box 931018
Atlanta, GA 31193-1018
Phone (954) 925-2740

Other practice location 1

1200 SW 145th Ave Ste 250
Pembroke Pines, FL 33027-6240
Phone (954) 431-2777

Other practice location 2

2300 N Commerce Pkwy Ste 307
Weston, FL 33326-3256
Phone (954) 217-3155

Other practice location 3

7593 W Boynton Beach Blvd Ste 280
Boynton Beach, FL 33437-6163
Phone (954) 431-2777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000247 FL Part B Supplier - Clinic/Group Practice 4688575244 Receives reassigned benefits from 16 practitioners
3 other NPIs on this enrollment
Practice locations: Weston, FL; Pembroke Pines, FL; Hollywood, FL; Boynton Beach, FL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1861589343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931018",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931018",
            "telephone_number": "954-925-2740",
            "fax_number": "954-923-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PARK RD STE 300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218353",
            "telephone_number": "954-925-2740",
            "fax_number": "954-923-8379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 SW 145th Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330276240",
            "country_code": "US",
            "telephone_number": "954-431-2777",
            "fax_number": "954-431-1856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 N Commerce Pkwy Ste 307",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263256",
            "country_code": "US",
            "telephone_number": "954-217-3155",
            "fax_number": "954-217-3156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7593 W Boynton Beach Blvd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334376163",
            "country_code": "US",
            "telephone_number": "954-431-2777",
            "fax_number": "954-431-1856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE SURGERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-214-0144"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "0602931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.