Individual provider Active NPI

Noel Blake Price, O.D.

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1871788141
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4466 Issued in FL
Practice address
246 S Flamingo Rd
Pembroke Pines, FL 33027-1721
Phone
(954) 443-1230
Fax
(954) 443-1234
NPI assigned
Sep 10, 2007
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1716DT KY
Optometrist 152W00000X OPC4466 FL Primary

Addresses

Primary practice location

246 S Flamingo Rd
Pembroke Pines, FL 33027-1721

Mailing address

246 S Flamingo Rd
Pembroke Pines, FL 33027-1721
Phone (954) 443-1230

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
I20131101001547 FL Practitioner - Optometry 2961642665 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4466FLMDOptometrist
1716DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Vision Care Inc Optometrist CurrentSince Jul 1, 2019 Accepting new patients
DRS. Cukierman & Gomez, Inc Optometrist CurrentSince Jan 10, 2024 Accepting new patients
DRS. Cukierman & Gomez, Inc Optometrist Current Accepting new patients

Locations

2873 Stirling Rd
Ft Lauderdale, FL 33312
Phone (954) 983-4969

1770 W 32nd Pl
Hialeah, FL 33012
Phone (305) 885-4477

246 S Flamingo Rd
Pembroke Pines, FL 33027
Phone (954) 442-4602

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1871788141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 S FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271721",
            "telephone_number": "954-443-1230",
            "fax_number": "954-443-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 S FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271721",
            "telephone_number": "954-443-1230",
            "fax_number": "954-443-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "NOEL",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1716DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.